Job Description
Job Description
Medical Receptionist – Referral Coordinator
Baltimore, MD
Pay From: $21 per hour
MUST:
Experienced Medical Receptionist – Referral Coordinator
3+ years of experience as a Medical Receptionist – Referral Coordinator
2+ years of experience working in a medical office
Must have experience processing referrals and obtaining pre-authorizations
Must have experience with Epic
Must be able to work in fast-paced environment with demonstrated ability to move quickly between multiple competing tasks and demands
Current knowledge of payer requirements
Able to communicate effectively, both verbally and written
Strong interpersonal and customer service
Excellent attention to detail
Proficiency medical terminology required
DUTIES:
Medical Receptionist – Referral Coordinator will be responsible for, but not limited to the following:
Performs all medication prior authorizations as needed Ensures that referral and pre-authorization activities are undertaken to provide maximum patient and provider satisfaction and maximum reimbursement
Obtains initial and subsequent authorization as needed for assigned location(s)/payer(s)
Performs insurance verification and submits/tracks single case agreements, as necessary
Maintains a working knowledge of reimbursement principles and rates
Provides and documents ongoing communication with payer case managers for updates/changes/authorizations
Escalates/Notifies supervisor of potential problem referrals
Cross trained as intake and scheduling to assist when needed with additional departments
Other duties as assigned