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.