Referral Coordinator
2 weeks ago
Job Overview
We are seeking a detail-oriented and organized Referral Coordinator to join our healthcare team. The ideal candidate will manage referral processes efficiently, ensuring seamless communication between patients, providers, and insurance companies. This role requires a strong understanding of managed care, medical office procedures, and CPSA/AHS compliance to support high-quality patient care and operational excellence.
Duties
- Coordinate and process patient referrals in accordance with managed care policies and insurance requirements
- Verify insurance coverage and benefits, including insurance verification procedures
- Maintain accurate medical records, including documentation of referrals,
- Communicate effectively with healthcare providers, patients, and insurance companies to facilitate timely referrals
- Ensure compliance with CPSA/AHS regulations when handling sensitive medical information
- Assist with medical office tasks such as appointment scheduling and updating patient information
- Review and interpret medical terminology related to referrals and coding procedures
- Manage medical records requests and ensure proper documentation for billing and record-keeping purposes
- Support the billing department with accurate coding for insurance claims when necessary
Experience
- Prior experience in a medical office setting or healthcare environment is preferred
- Knowledge of managed care processes, medical terminology, and medical records management is essential
- Experience with CPSA/AHS coding
- Familiarity with CPSA/AHS regulations and confidentiality standards is required
- Office experience involving insurance verification or referral management will be considered an asset
- Familiar with Accuro EMR
This position offers an excellent opportunity for professionals seeking to leverage their healthcare knowledge in a dynamic environment dedicated to patient care excellence.
Job Types: Full-time, Part-time
Pay: $19.00-$25.00 per hour
Benefits:
- Dental care
- Extended health care
- On-site parking
- Vision care
Work Location: In person
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