Referral Coordinator - Patient Access & Care Coordination

Flexzo Ai; Ormond Beach (FL); Vor Ort; USD 22.000 - 26.000; Vollzeit

Zusammenfassung

Flexzo Ai in Ormond Beach, FL is seeking a Referral Coordinator to manage external specialty referrals for patients. The role focuses on researching referrals, ensuring medical necessity, and maintaining documentation to support approval by payors.

You will handle scheduling, insurance verification, patient registration processes, and provide patient and provider support in a fast-paced healthcare setting. This is a full-time, on-site position offering hourly compensation of $16 to $19.

Qualifikationen

• High school diploma or equivalent.
• 1+ year experience in a medical office or healthcare setting.
• Familiarity with scheduling systems, insurance verification, and patient registration processes preferred.

Aufgaben

• Processes patient referrals to specialty providers and facilities while adhering to protocol.
• Ensures referrals are addressed in a timely manner, prioritizing urgent items appropriately.
• Reviews documentation from primary care provider or specialty provider to ensure medical necessity of the referral request.
• Prepares and submits Service Denials on referral requests that do not meet protocol. Reviews Service Denial with Director or Supervisor prior to submission to payor as needed.
• Prepares medical records to accompany referral, providing appropriate clinical information to specialist.
• Acts as a resource for patients or providers who have questions or problems relating to referrals.
• Maintains log of all referrals processed; submits log to District Manager or Supervisor monthly.
• Communicates internal and external referral request issues with District Manager or Supervisor in a timely manner.

Kenntnisse

Customer service

Communication

Organizational skills

Data entry accuracy

Multitasking

Team-oriented

Ausbildung

High school diploma or equivalent

Jobbeschreibung

Flexzo Ai in Ormond Beach, FL is seeking a Referral Coordinator to manage external specialty referrals for patients. The role focuses on researching referrals, ensuring medical necessity, and maintaining documentation to support approval by payors.

You will handle scheduling, insurance verification, patient registration processes, and provide patient and provider support in a fast-paced healthcare setting. This is a full-time, on-site position offering hourly compensation of $16 to $19.