Referral Coordinator
- Job Title
- Referral Coordinator
- Job ID
- 27731000
- Location
- Conroe, TX, 77304
- Other Location
- Description
-
The Referral Coordinator will be responsible for the administrative and technical support of the clinic professional staff.
Standard hours of work are Monday through Friday, 8:00 a.m. to 5:00 p.m.
Essential Duties and Responsibilities:- Answer incoming calls for referral/procedure authorization requests.
- Obtain and enter the authorization data into the system as received from the provider and assigning the authorization number for tracking purposes.
- Coordinate the information transfer between Lone Star providers, Specialists, and patient’s health plans as it relates to eligibility and benefit coverage via telephone, electronic, or fax communications.
- Participate in an ongoing education program for facilitating the referrals/authorizations process with both internal and external clients.
- Work with providers to meet payors’ documentation requirements for covered services. .
- Obtain information regarding member/patient and provider concerns and referring to the appropriate party.
- Notify patient of Specialist information and assist with patient scheduling of tests and treatments, if necessary.
- Compile and condense technical and statistical data for reports and records.
Bilingual – English and Spanish required.
High School graduate (or GED).
Minimum of 1 year of work experience in a healthcare setting.
Working knowledge of medical terminology and ICD-10 Codes/CPT preferred.
