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Referral Coordinator - Full-Time (3147)

Wilmington Health PLLC
Posted a month ago, valid for 17 days
Location

Wilmington, NC 28403, US

Salary

Competitive

Contract type

Full Time

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Sonic Summary

info
  • The position involves processing tasks related to appointment scheduling, authorization, prior approval, and benefit information in a Practice Management system.
  • Candidates must have a high school diploma or equivalent and 3 to 5 years of experience in a medical office environment.
  • The role requires obtaining and documenting necessary information while communicating effectively with both patients and the Central Business Office.
  • Key competencies include professionalism, teamwork, and strong organizational skills, with a focus on customer experience and adherence to HIPAA guidelines.
  • The salary for this role is not specified, but it emphasizes the importance of experience and relevant qualifications.

Purpose:

Process task, document and communicate relative appointment scheduling, authorization, prior approval, and benefit and collections information in Practice Management system. 

Essential Duties/Responsibilities: 

  • Obtain from entity appointment, authorization, prior approval, and benefit information for relative assigned tasks. 

 

  • Obtain and provide to entity required paperwork i.e., demographic, insurance, medical records etc. 

 

  • Document obtained information in the Practice Management system. 

 

  • Communicate with suite of origin relative required information.

 

  • Communicate with patient relative required information i.e., appointment, authorization, benefits, and collections.

 

  • Work collaboratively with Central Business Office on relative claims follow-up. 

 

 

Other Duties:

  • As assigned by manager

Qualifications:

Required:

  • High school diploma, GED, or high school equivalency
  • 3 to 5 years' experience in a medical office environment 
  • (Or) equivalent combination of education and experience

 

 

 

 

Referral Coordinator Competencies

 

General

  1. Customer Experience  
  2. Professionalism/Integrity/Responsibility
  3. Teamwork/Lean Process Focus
  4. Dependability/Punctuality
  5. Interpersonal Relationships/Communication
  6. Judgment/Decision Making/Problem Solving
  7. Quality/Quantity
  8. Initiative /Game Changer
  9. Safety/Housekeeping
  10. Organizational Skills/Time Management

 

Department Specific

  1. Greets, acknowledges, and provides closure for customer needs in a professional manner.  
  2. Follows Referral /Managed Care process to obtain, document and communicate appointment, authorization, prior approval, benefits, and collections and payment information.
  3. Follows HIPAA guidelines for internal / external communications.

 





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