Referral Coordinator for Concierge Medicine

Job Title : Referral Coordinator for Concierge Medicine

Job Location : Onsite - Las Vegas, NV

Hours : M-F, 9am-5pm

Job Type : Contract, 4 months

Pay : $20 / hr W2

Our client is seeking a highly polite, detail-oriented individual to assist concierge clients with scheduling appointments and coordinating referrals.

Job Description

• Will ensure : All external results are received, documented, and acted upon.
• Pre-authorizations and insurance requirements are met proactively.
• Patients are not lost in transition between providers or systems.
• Insurance Verification & Authorizations : Confirms patient insurance coverage and obtaining necessary pre-authorizations needed from referring physicians for appointments or procedures.
• Appointment Scheduling : Coordinates appointments between patients and healthcare providers, both within the facility (Lou Ruvo) for limited services and with external specialists.
• Patient Communication & Navigation : Serves as a primary point of referral contact for patients, answering questions, providing information, and guiding them through the referral process.
• Provider Coordination : Coordinates with primary care physicians, specialist providers, hospitals, and other healthcare facilities to facilitate the transfer of medical information and ensure continuity of care.
• Documentation & Record Keeping : Maintains accurate and up-to-date patient records, including progress notes of referral, preparing charts before the next follow up visits, etc. in the EPIC system.
• Compliance & Regulations : Ensures all referral activities adhere to healthcare policies, insurance guidelines, and privacy regulations like HIPAA.
• Referral Tracking : Implements tracking mechanisms to monitor the status of each referral and ensure patients receive their appointments in a timely manner.
• Chart Scrubbing : Ensures patient charts are accurate and free of errors or missing information before billing claims are sent to payers or for other purposes, such as risk adjustment and care gap closure.
• This involves checking for inaccuracies, inconsistencies, and incomplete data in the EPIC to improve data quality and ensure accurate billing and appropriate patient care.
• Manages the process of directing patients to specialists or other healthcare services, handling tasks such as verifying insurance, scheduling appointments, coordinating with providers, and ensuring proper documentation for seamless patient experience and compliance with healthcare regulations.
• Key duties include communication with patients and providers, utilizing EPIC, and maintaining strong organizational and multi-tasking skills.

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