Referral Coordinator/Prior Authorizations at High Country Community Health

Mount Airy, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Apr, 26

Salary

0.0

Posted On

27 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Referral Coordination, Prior Authorizations, Customer Service, Electronic Health Records, Documentation Collection, Patient Interaction, Insurance Communication, Tracking Referrals, Collaboration, Transition of Care, PCMH Standards, Clinical Referrals, Medical Equipment, Diagnostic Imaging, Teamwork, Attention to Detail

Industry

Medical Practices

Description

Description Job Summary and Responsibilities The referral coordinator is responsible for implementing, monitoring, and tracking of all aspects of the clinic referral processes. Prior authorizations are tasks within the medical field that are required to provide medications, medical equipment, and diagnostic imaging. Responsibilities for both aspects of this position are listed below. Referral Coordinator duties include: · Coordination and tracking of all clinical referrals utilizing the electronic health record. · Tracking and reporting on all appropriate Patient Centered Medical Home (PCMH) standards as directed. This specifically includes the elements related to tracking referrals, and transition of care. · Work with designated staff on appropriate clinic related referral processes · Collaborate with patient and consulting providers to complete referral process · Provides the highest level of customer service to internal and external clients. · Other duties as assigned Prior Authorization duties include: · Responsible for all aspects of the prior authorization process · Collecting all the necessary documentation · Contacting the patient for additional information to ensure completion of the required prior authorization for the prescribed medication, medical equipment and diagnostic imaging · Interacts with patients, and insurance companies as necessary, to request prior authorizations. · Provides the highest level of customer service to internal and external clients. · Other duties as assigned Requirements Requirements/Qualifications/Skills/Experience Minimum of at least 2 years in primary medical care setting. At least 1 year of experience with referrals preferred. Medical certification or licensure such as CMA, LPN, or RN preferred. Proficiency with electronic health records.

Responsibilities

The referral coordinator is responsible for implementing, monitoring, and tracking all aspects of the clinic referral processes and managing prior authorizations. This includes coordinating clinical referrals, ensuring documentation is complete, and providing excellent customer service.