Referral Coordinator Specialist

hace 2 días


San Pedro Garza García, Nuevo León, México Md Medical Group A tiempo completo

**Job Summary**

We are seeking a highly skilled Referral Coordinator to join our team at Md Medical Group. As a Referral Coordinator, you will play a crucial role in obtaining authorizations from insurance companies to assist patients in the referral process.

**Key Responsibilities**

  • Obtain authorizations for all referral requests received as assigned
  • Review and understand documentation required by insurance companies to obtain authorization, including clinical notes, lab results, consult notes
  • Utilize insurance web portals to obtain authorizations as required
  • Accurately document referral details, including status, authorization dates, authorization number, specialist/facility and other relevant information per policy
  • Effectively communicate updates in referral status with patients, clinicians and office site staff
  • Interact professionally with specialists/facilities and insurance plan representatives
  • Remain current with company, health plan and specialist requirements
  • Prioritize use of preferred specialist/facility within the system
  • Meet productivity standards as determined by management team
  • Manage workloads to meet established timeframe expectations
  • Work collaboratively with department team members to ensure coverage
  • Manage high priority notifications and requests appropriately
  • Review and update requests pending authorization daily
  • Communicate and collaborate effectively with Referral Manager and team members

**Requirements**

High School diploma or equivalent

Ability to read, understand and follow oral and written instruction in English and Spanish

Knowledge of medical terminology is a plus

Ability to speak and write English and Spanish clearly and concisely

Ability to establish and maintain effective working relationships with patients, employees and the public

**Work Environment**

Full-time, Permanent

Hybrid remote work arrangement in the Monterrey Metropolitan Area


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