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Referral Coordinator


APN Software Services Inc


Location

Costa Mesa, CA | United States


Job description

Duties: Job Summary:
-Prepares clinical data for physician approval and obtains authorizations; acts as liaison between patient, medical assistant, physician, and Central Business Office.


Referrals Coordinator:
-Ensures all referrals are completed.
-Ability to prioritize based on urgency of referral.
-Processes authorization for consults and procedures on both fee-for-service as well as managed care patients.
-Advises the patient of receipt/denial of authorization requests.
-Maintains internal log of referral status per protocols of the medical office as well as documentation in the IDX system as outlined as outlined by CMS Department.
-Ensures accurate and timely completion of forms to expedite patient care.
-Supports referral process for all physicians, nurse practitioners, and physician assistants.
-Performs advanced functions of the EMR which are beyond the abilities of front and back office users.
-Ensures all authorizations are placed in the appropriate folder within patient charts.
-Enforce the communication of direct and indirect referrals to manage patient expectations.
-Provides excellent patient experience.




Skills: Required Skills & Experience:
-1+ years of experience in outpatient health care system(s) including managed care.


Preferred Skills & Experience:
-N/A.
Keywords:
Education: Required Education:
-High School diploma or equivalent.



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