Referral Coordinator (CC3809 - Metro Specialty)

Job description

Responsible for answering telephones, scheduling appointments and providing exemplary customer service. Processes referrals for Adult Medicine, Pediatric, Medical Specialty and Behavioral Health providers. Performs verification of insurance coverage and benefits, and obtains authorization for treatment as required by insurance plan, according to third party payer guidelines. Documents referral/authorization information and communication in Electronic Health Record (EHR) system. DUTIES AND RESPONSIBILITIES: 1. Schedules patient appointments utilizing established provider templates. Ensures patient demographics and insurance information in the EHR is complete, accurate and up to date. Works cohesively and interdepartmentally with providers and support staff to optimize templates; performs patient schedule changes as needed. Documents and relays information with external providers as appropriate to facilitate patient care. 2. Demonstrates appropriate telephone etiquette according to the policies and procedures of the department, and provides prompt and courteous service upon each telephone call received. Proactively participates in the implementation of new initiatives and processes....