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Form of workTitle: Referral Coordinator - CA
Location: Costa Mesa, CA 92626
Type: Contract
Duration: 4 Months
Start Date: 04/01/2024
Positions: 1
Schedule: M-F; 8am-4:30pm
Job Summary:
Prepares clinical data for physician approval and obtains authorizations; acts as liaison between patient, medical assistant, physician, and Central Business Office.
Responsibilities:
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.
Required Skills:
1+ years of experience in outpatient health care system(s) including managed care
Must have experience with Epic/Tapestry.
Must be able to clearly communicate, be proactive, collaborate and be able to problem-solve.
Education:
High School diploma or equivalent required
