Referral Coordinator

Posted 13 Days Ago
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Grand Rapids, MI, USA
In-Office
Junior
Other • Professional Services
The Role
Coordinates patient referrals by verifying insurance benefits and authorizations, obtaining referral documentation, recording referrals in the EMR, completing patient charts, updating copayments, scheduling appointments, mailing patient packets, and supporting front-office operations. Serves as a communication resource for patients, physicians, and healthcare providers while maintaining HIPAA compliance and delivering strong patient service.
Summary Generated by Built In

Description

GENERAL SUMMARY

The Referral Coordinator serves as the primary contact/resource person for patients, primary care physicians and other healthcare service providers. The Referral Coordinator is responsible for answering and appropriately managing incoming telephone calls, verification of benefits and services, scheduling patient appointments, and responding to patient information needs.

Requirements

ESSENTIAL JOB FUNCTION/COMPETENCIES

Responsibilities include but are not limited to:

  • Works on new patient and existing patient referrals.
  • Verifies the type of insurance and proper authorization as needed.
  • Contacts the referring physician to obtain the referral form.
  • Obtains any added documents as needed.
  • Records referrals in computer.
  • Ensures that new patient charts are complete.
  • Updates co-payments in the computer.
  • Mails new patient packets.
  • Assists with all front office related duties as needed.
  • Performs other position related duties as assigned.
  • Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

  • N/A

KNOWLEDGE | SKILLS | ABILITIES

  • Knowledge of medical terminology.
  • Delivers exceptional patient service throughout all interactions.
  • Phone etiquette skills.
  • Must be able to communicate clearly in person and over the telephone.
  • Ability to follow up on all communications.
  • Skill in using computer programs and applications including Microsoft Office.
  • Knowledge in healthcare systems operations such as EMR.
  • Complies with HIPAA regulations for patient confidentiality.

EDUCATION REQUIREMENTS

  • High School Diploma or equivalent required.

EXPERIENCE REQUIREMENTS

  • 1 year of experience working in a medical office preferred.
  • Knowledge of insurance is preferred.
  • Urology experience preferred.

REQUIRED TRAVEL

  • N/A

PHYSICAL DEMANDS

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%

26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. Seldom, up to 2%

100 + lbs. Seldom, up to 2%

Lifting - Height, Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%

Floor to Chest, 26-50 lbs. Seldom: up to 2%

Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%

Floor to Waist, 26-50 lbs. Seldom: up to 2%

Skills Required

  • High school diploma or equivalent
  • Knowledge of medical terminology
  • Clear verbal and written communication skills
  • Phone etiquette and patient service skills
  • Ability to follow up on communications
  • Microsoft Office proficiency
  • Knowledge of healthcare systems operations, including EMR
  • Knowledge of HIPAA and patient confidentiality requirements
  • One year of medical office experience
  • Knowledge of insurance
  • Urology experience
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The Company

What We Do

Urologic Consultants, P.C. is a leading specialized medical practice in West Michigan providing state-of-the-art urologic diagnosis, treatment, and procedures for men, women, and children. Their comprehensive services include pediatric urology, urologic cancer care, and general adult urology. Now affiliated with Solaris Health, the practice leverages a team of experienced providers to care for over 15,000 unique patients each year.

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