Job Description

Job Summary

The Referrals/Front Office Coordinator will be responsible for preparing and processing all managed care referral paperwork.  They will manage the process of scheduling patients for exams and procedures with specialists and providers outside of the primary care physician's office. This group is looking for someone who is interested in being part of a dynamic team that focuses on excellent service to others while handling clerical, environmental, and organizational tasks.  This position will be stationed in La Porte, and servicing multiple locations.  Must have the ability to travel.

Job Responsibilities

• Process patients’ referrals and ensure that patients are scheduled for their recommended non-PCP appointments
• Liaise between Medicare patients/offices and the providers, making sure to effectively process, monitor and communicate all aspects of the patients’ referrals
• Maintain list of all preferred specialists and ancillary providers for the assigned area
• Obtain referral authorizations if required by the health plan
• Call the referred Specialists and schedule appointment for patients
• Communicate respectfully and effectively with patients regarding appointments
• Follow guidelines/workflows to complete & log all referrals processed through system
• Meet monthly/quarterly goals regarding utilization and process of ordered referrals
• Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
• Assist with coordination of activities related to insurance pre-certification/authorization
• Other duties as assigned
• Front Desk Duties:
  • Answering phones efficiently and with the proper etiquette, directing the calls to the appropriate person/department. Updating patient information in computer when necessary
  • Scheduling new patients, collecting insurance information, filling out proper forms to set up new patient files and preparing file labels
  • Verifying medical insurance for all appointments (at least one day prior to service) and walk-in patients
  • Maintaining inventory of new patient forms and office supplies required for front desk activities
  • Monitoring patient wait time and ensuring physicians' on-time schedule. Prioritizing appointment versus walk-in. Assisting in pulling charts for walk-in patients.
  • Providing patients the proper documentation for quick referrals using preferred network
  • Ensuring patients leave with all necessary forms and paperwork (i.e. receipt of visit, lab requisition, prescription, etc.)
  • Scheduling any necessary follow-up appointments, confirming next days appointments, and also following up on any missed appointments
  • Respecting and maintaining privacy and dignity of patients to assure client confidentiality at all times

Job Qualifications

• High school diploma or GED equivalent
• Two (2) years of experience as a Referral Coordinator with experience working with the following payors:
  • Cigna
  • Humana
  • WellCare
  • Superior
  • Aetna
  • UnitedHealthcare
  • BlueCross BlueShield
  • Molina Healthcare
• Bilingual (Spanish) preferred.

BENEFITS

• Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
  • FSA and Life Assistance Program (EAP)
  • 401(k) Retirement Plan
  • Health Advocacy, Travel Assistance, and My Secure Advantage
• PTO Accrual and Holidays

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