Referral Intake Coordinator 40hr

Description

Status Hours:

40hr/wk

Job Summary:

This position will be responsible for the accurate collection and distribution of incoming referrals to ensure accuracy, eligibility and proper authorization is obtained prior to the patient being scheduled for their service. 

Essential Job Duties:

1. Collects incoming referrals and orders for various units in the hospital and distributes to the schedulers or authorization teams based on the appropriate workflow.
2. Verifies insurance eligibility through multiple interfaces and corrects if appropriate.
3. Collaborates with the prior authorization department on obtaining proper authorizations and distributes to schedulers as appropriate.
4. Promptly answers incoming calls and directs appropriately if necessary.
5. Reaches out to patients to obtain proper insurance or demographic information, if applicable.
6. Reviews medical necessity and collaborates with various outside providers to ensure it is met prior to scheduling patient.
7. Obtains initial patient information, including demographic and insurance information; reviews and maintains patient data.
8. Verifies patient account information through automated processes, registration interfaces, patient contact, or payer contact, researches missing or incorrect account information; appropriately updates account activity.

Requirements

Education or License:

1. High School Diploma or G.E.D
2. Previous Patient Access Experience or Patient Billing, required
3. Previous Medical Office experience, preferred
4. Knowledge and skill in Microsoft Office documents (Word, Excel Spreadsheets, PowerPoint)
5. Ability to answer phones and converse courteously and in a professional manner
6. Interpersonal and customer service skills
7. Maintains a high standard of responsibility, accountability and flexibility

Availability:

Must be available to work days, nights, holidays and weekends depending on department staffing needs.

Contact: 

• To see the full job description or to get further information, call Kelly at 207-498-1311 or email at [email protected]
• Cary Medical Center and Pines Health Services offer competitive benefits packages. To view the full package and other exciting opportunities, click Careers & Benefits Information.