Referral Coordinator - S. 17th St. 3147 - Full Time

Wilmington Health; Wilmington (NC); On-site; USD 25,000 - 32,000; Full time

Job summary

Wilmington Health in Wilmington, NC seeks a Referral Coordinator to manage referral forms, coordinate appointments across clinics, hospitals, and other facilities, and enter authorizations into NextGen.

The role emphasizes patient communication, scheduling, logging activities, and supporting the Manager to achieve efficient, cohesive operations within the health care team.

Strong customer service, professionalism, and HIPAA awareness are essential in this full-time position.

Qualifications

• High School Diploma or GED Equivalent.
• 3 to 5 years experience in a medical office environment.
• Or equivalent combination of education and experience.

Responsibilities

• Schedules and coordinates referral appointments (includes office, outpatient procedures, hospitals, and other medical facilities) by processing all authorizations requiring prior approval from the managed care company.
• Calls patients with the appointment.
• Provides requested information, or refers appropriately regarding patient appointments and testing. Enter authorization into NextGen.
• Keeps logs as required by manager.
• Attends department meetings and other meetings as required by the Manager.
• Answers calls referred to their respective number and assist clinical staff with any managed care question.
• Maintains inventory of office supplies and orders as needed.
• Assists Manager with other duties deemed necessary to achieve efficiency and a cohesive working environment.
• Maintains effective communication and interacts appropriately and professionally with all members of health care team. Returns emails in a prompt manner.
• Communicates with insurance companies and with specialist’s offices.
• Arranges seminars and educational meetings with WH clinical staff and physicians.
• Works on special projects as required.
• Verify demographic/insurance information currently in the system.
• Update HIPAA information.
• Directs patients to Business Office or other designated personnel when appropriate for up front collection of delinquent accounts and/or establishment of a payment plan.

Skills

Customer service

Communication

Teamwork

Problem solving

Time management

Organizational skills

Attention to detail

Interpersonal skills

Education

High School Diploma or GED

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Referral Coordinator - S. 17th St. 3147 - Full Time

Business Office Full Time Wilmington, NC, US

30+ days ago Requisition ID: 1499

About Wilmington Health

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Purpose:

To provide office support to the clinic by processing all referral forms and answer all patient and employee questions regarding previously requested authorizations

• Schedules and coordinates referral appointments (includes office, outpatient procedures, hospitals, and other medical facilities) by processing all authorizations requiring prior approval from the managed care company
• Calls patients with the appointment
• Provides requested information, or refers appropriately regarding patient appointments and testing. Enter authorization into NextGen.
• Keeps logs as required by manager
• Attends department meetings and other meetings as required by the Manager
• Answers calls referred to their respective number and assist clinical staff with any managed care question
• Maintains inventory of office supplies and orders as needed
• Assists Manager with other duties deemed necessary to achieve efficiency and a cohesive working environment
• Maintains effective communication and interacts appropriately and professionally with all members of health care team. Returns emails in a prompt manner.
• Communicates with insurance companies and with specialist’s offices.
• Arranges seminars and educational meetings with WH clinical staff and physicians.
• Works on special projects as required
• Verify demographic/insurance information currently in the system
• Update HIPAA information
• Directs patients to Business Office or other designated personnel when appropriate for up front collection of delinquent accounts and/or establishment of a payment plan

Other Duties:

• As assigned by Manager

QUALIFICATIONS

Required:

• High School Diploma or GED Equivalent
• 3 to 5 years experience in a medical office environment
• (Or) equivalent combination of education and experience

Preferred:

• Experience in Medical Office Administration

Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran’s status, sexual preference, disability, genetic information, or any other class protected under state or federal law.

ADA Physical Demands:

Rarely (Less than .5 hrs/day) occasionally (0.6 – 2.5 hrs/day) frequently (2.6 – 5.5 hrs/day) continuously (5.6 – 8.0 hrs/day)

Physical Demand

Required?

Frequency

Standing

Rarely

Walking

Rarely

Kneeling/Crouching

Rarely

Lifting

Rarely

General

• Customer Service
• Professionalism/Integrity/Responsibility
• Teamwork/Process Focus
• Interpersonal Relationships/Communication
• Judgment/Decision Making/Problem Solving
• Quality/Quantity
• Initiative
• Organizational Skills/Time Management

Department Specific

• Greets, acknowledges and provides closure to all customer needs in a prompt, pleasant manner.
• Follows reception process for all check in duties.
• Follows routing sheet preparation process for all scheduled appointments.
• Follows reception process for all demographic data.
• Follows insurance process for all insurance data.
• Follows appointment process for scheduling.
• Follows managed care process for appointments.
• Follows cashier process for payment entry.
• Follows accounting process for deposit summary sheet.
• Follows patient financial counselor process for billing inquiries and concerns.
• Follows all processes required to provide clarification/correction and return of requested information.
• Follows HIPAA guidelines for internal/external communications.