Referral Coordinator Specialist
hace 2 días
**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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