Referral Coordinator

Job Title : Referral Coordinator

Location : Rancho Mirage, CA 92270

Duration : 3 Months+ (possibilities of Extension)

Pay Range : $23 - $24 / hr. on W2

Responsibilities :

Coordinates incoming patient referrals, including insurance referrals, and performs front office duties. Ensures all referrals are reviewed and transcribed into Epic; manages assigned work queue(s), including medical records requests, preparation of medical charts, returning phone calls and facilitating physician’s orders in conjunction with clinical staff.

Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations.

Manages clinic Electronic Medical Record (EMR) incoming / outgoing referral work queues; facilitates patient appointments or referral to intended clinic accordingly and in a timely manner.

Establishes and maintains an open and collaborative relationship with clinics and departments to facilitate a seamless referral process.

Answers all patient questions, requests and telephone / written correspondence timely and appropriately to ensure a positive experience.

Verifies accurate and complete patient, guarantor and insurance carrier information for billing and follow-up.

Submits required documentation to support treatment for referral completion; ensures insurance authorization is received timely.

Manages and organizes all outgoing documents sent to central Health Information Management (HIM) for scanning / indexing : ensures proper patient identification on each document and appropriateness of documents to be scanned.

Requests and obtains medical record data from referring offices and organizations, as needed.

Identifies and collects co-pays / deductibles based on insurance eligibility information and / or EMC uninsured cash discount quotes for emergency and outpatient services; provides patient with receipt of payment, if applicable.

Coordinates with clinical staff to obtain medical records to submit to HMO insurance, if applicable.

Contacts patients to schedule annual Medicare wellness visits and annual HMO physicals in collaboration with nurse, if applicable.

Covers front desk duties; answers phones, retrieves voicemail messages and returns calls timely and appropriately, if applicable.