Referral Coordinator

This is a remote contract to hire position.

Job Responsibilities:

• Process referral requests received and assigned referral queue using Auto Approval List. Pend nurse and Medical Director review to appropriate referral requests timely to ensure compliance is maintained. Complete daily referral assignments received by fax, phone or portal etc.
• Documents all pertinent information in IDX to include medical notes, benefit information, contracted vs non contracted provider. Accurate data entry into IDX fields.
• Maintain timeliness standards by regulatory requirement for each product line.
• Maintain daily production standard based on corresponding assigned job duties set by department manager.
• Handle stat calls for assigned team on a daily basis and adhere to department standards for coverage.
• Answers all voice mail at least every hour and respond to messages within 24 hours to ensure customer satisfaction is maintained.
• Alert Nurse Reviewer of expedited requests.

Qualifications:

Minimum Education: High School Diploma required.
Minimum Experience: Minimum of two (2) years of experience with Referral Healthplan, IPA or Medical Provider office with referral management and/or call center knowledge.
Req. Certification/Licensure: Certified Medical Assistant preferred.

Covid-19 Vaccination required

Job Type: Contract

Pay: $21.00 - $23.00 per hour

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Work Location: Remote