Coordinator - Referrals

About Optima Medical :

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. We are seeking a Chronic Care Management Coordinator to join our care management team and support our primary care clinics. The ideal candidate will have experience in a fast-paced, patient-centered environment and a passion for building meaningful relationships with patients to support their long-term health goals.

Responsibilities :

• Manage all incoming and outgoing referrals, ensuring accuracy and completeness of information.
• Communicate with healthcare providers to obtain necessary documentation and information for referrals.
• Coordinate appointments for patients with specialist providers as per referral guidelines.
• Verify insurance coverage and obtain pre-authorizations for referred services.
• Maintain updated records of referral activities, including tracking referral status and outcomes.
• Act as a liaison between patients, healthcare providers, and insurance companies to resolve any referral-related issues.
• Educate patients on their referral process, including necessary steps and required documentation.
• Collaborate with internal departments to ensure timely and efficient processing of referrals.
• Participate in quality improvement initiatives related to referral processes.
• Stay current with insurance regulations and guidelines pertaining to referrals.

Qualifications :

Why join our team?

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