Job Description
Job Description
Apply Here: https://secure.onehcm.com/ta/CALRETINA.jobs?ShowJob=788712389&TrackId=Z…
Referral Coordinator
You will be the main point of contact for all referrals, and will be scheduling all of our new patients. Also, as a Referral Coordinator you will learn to thoroughly understand and comprehend different retinal diagnoses, and appropriately differentiate between emergent and non-emergent referrals. You will utilize a high level of customer service skills and phone etiquette to provide professional, and efficient service for our referring physicians and their patients.
Responsibilities & Duties
- Answer all incoming calls from referring physicians and ensure their requests are fulfilled and questions answered as needed
- Provide referring physicians data on referred patient exams as needed
- Appropriately schedule all referred patients in a timely manner, based on diagnosis and urgency of the referral
- Ensure complete patient demographics, insurance information, and appropriate clinical information is recorded in the chart
- Ensure all outgoing referrals are submitted for approval with appropriate ICD and CPT codes as requested by insurance carriers
- Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis to insurance carriers
- Establish relationships with service providers and personnel
- Point of contact for patients and referring provider for any questions or concerns
- Assist in problem-solving potential issues related to referrals working under the guidance of the Clinic Manager
- Responsible for scheduling and notifying patients of scheduled appointments via phone, email, mail
- Responsible for calling referring providers’ offices to gather consultation notes
- Responsible for scanning all documents and consultation notes in patient’s charts
- Communicate with CRC doctors and Clinic Manager on any delay and / or issues regarding referrals
- Review all incoming faxes in a timely manner regarding patient referrals
- Facilitate clinical communications as needed
- Listen and respond to patient’s and referring provider needs and provide guidance and information.
- Schedule urgent appointments, based on necessity and acuity
- Monitor, accurately document, and communicate patient condition as appropriate in the EMR system
- Serve as backup for incoming phone calls if necessary due to high volume of calls