QI
Referral Coordinator
Quadrant, Inc.
🇺🇸 United States
On-site
1 month ago
- medical terminology
- EMR
- Health insurance
1 month ago
Not enough detail in this posting to match
Midlothian, Virginia
Pay From: $20.00 per hour
MUST:
Experienced Referral Coordinator
Must have 1 plus years of experience working within healthcare
Must have strong experience handling patient referrals
Must have a strong understanding of medical insurance
Must have strong Microsoft Office Suite experience
Must have a strong understanding of medical terminology
DUTIES:
Referral Coordinator will be responsible for but not limited to the following:
Obtain required insurance authorizations and approvals for specialty care, diagnostic testing, and other medical services in accordance with payer guidelines
Coordinate and manage all outgoing patient referrals, ensuring timely processing and scheduling
Monitor referral status and utilize tracking systems and follow-up reminders to ensure referrals are completed promptly
Track all outside referrals and obtain consultation notes, test results, and reports from external providers
Maintain clear communication with patients, providers, and clinical staff throughout the referral and authorization process
Secure and document all required insurance pre-authorizations and ensure accurate recordkeeping
Utilize EMR to efficiently manage referrals, authorizations, documentation, and patient communications
Schedule and coordinate laboratory, imaging, and specialty appointments as needed.
Facilitate the secure exchange of medical records with outside healthcare providers and facilities
Respond promptly and professionally to patient inquiries regarding referrals, authorizations, and related services.
Verify insurance requirements for billing and claims processing, documenting all communications and follow-up activities.
Maintain accurate patient records, data entry, and filing in accordance with organizational standards.
Monitor and respond to voicemail messages related to referrals, authorizations, and patient care coordination.
Perform other administrative and clinical support duties as assigned.
Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. “Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act“.
Referral Coordinator · Quadrant, Inc.