Referral Coordinator - Rheumatology

Prosser Memorial Health; Prosser (WA); On-site; USD 2,875,051 - 4,258,161; Full time

Benefits offered by this job

Excellent health, dental, and vision

Retirement plan with employer

Generous paid time off

Job summary

Prosser Memorial Health is seeking a Referral Coordinator to verify insurance benefits, obtain prior authorizations for referrals, procedures, and testing, and ensure all incoming referrals are authorized and scheduled.

You will coordinate appointments, communicate with patients, and register patients. You will work with other departments to ensure notes and results are provided electronically whenever possible and monitor loop closure of referrals.

Qualifications

• Experience with insurance verification and prior authorizations.
• Knowledge of medical terminology, CPT/ICD codes.
• Ability to communicate clearly in writing and verbally.
• Ability to handle confidential patient information.

Responsibilities

• Check insurance benefits and obtain prior authorizations for referrals, procedures, and testing.
• Ensure referrals are authorized, scheduled, and monitored to loop closure.
• Coordinate appointments and communicate with patients.
• Register patients and ensure electronic transfer of information when possible.

Skills

Insurance verification

Referral authorization

Communication

Prioritization

Confidentiality

Education

High school diploma or GED

Job description

FT, 80 hrs/pp, 1.0 FTE; varies as scheduled.

Job Summary

Responsible for checking insurance benefits and obtaining prior authorizations for outgoing specialist visits, procedures, and testing. Ensuring all incoming referrals for office visits, procedures, and testing have been authorized and scheduled. Additionally, the referral coordinator’s responsibilities include appointment coordination, patient communication, and registering patients. Will work together with other departments and/or organizations to assure all necessary patient information is provided and/or obtained, and in electronic format whenever possible. Ensures all patient referrals are monitored for loop closure; determine patients attended appointments or not and consultation notes have been received or sent.

Education and/or Experience Requirements

• High school diploma or GED.
• One-year medical experience with exposure to insurance verification or referral authorization fundamentals.
• Knowledge of medical terminology, CPT & ICD codes.
• Ability to communicate effectively, both written and orally.
• Ability to handle patient and organizational information in a confidential manner.
• Ability to work in an environment of continuous change.
• Ability to manage priorities and work under deadlines.

Compensation & Benefits

• Pay Range: $20.87- $30.91
• Excellent health, dental, and vision benefits
• Retirement plan with employer contributions
• Generous paid time off