Description
At NorthBay Health, the Referral Coordinator oversees the end-to-end referral process for patients and physicians, ensuring all consults meet established access-to-care standards. This role is responsible to secure accurate patient demographics, authorizations and payer information in a timely manner to ensure patient care is not delayed. Verifies and documents eligibility and benefits for patient's specific payers. Ensures appropriate documentation is in the patient's Electronic Health Record (EHR). Schedules patient appointments and procedures as appropriate, and coordinates transfer of necessary records. Functions as the liaison to physicians and office staff, to expedite department/specialty access to care. Reviews and appropriately schedules patient appointments utilizing Department Specific appointment protocols.
At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.
Qualifications
Education:
- High school graduate or GED preferred.
Experience:
- Minimum of one year's experience in a medical front office setting with experience and knowledge of health insurance/ benefit requirements required.
- One or more year's experience working with medical insurance plans preferred.
- One or more years of experience working with referrals/consult processes in the specialty care setting.
- Examples: Pulmonology, Surgery, Urology, Women's Health, Gastroenterology, Cardiology, Infectious Disease and Endocrinology preferred.
Skills:
- Strong organizational and written/spoken communication skills essential.
- Ability to work independently on a variety of complex tasks, managing competing deadlines.
- In depth working knowledge of Windows and Microsoft Word.
- Knowledge of ICD-9, ICD-10 and CPT-4 coding
- Knowledge of medical terminology, and insurance rules and regulations required.
- Detail oriented with typing and computer input ability and a working knowledge of general office machines required.
- Strong ability to multi-task; schedule appointments for several multi-disciplinary clinics.
Interpersonal Skills:
- Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.
Hours of Work:
- 40 hours per week, pre scheduled between Monday-Friday during established office hours 07:00am-05:30pm and business needs.
Compensation:
- Hourly Salary Range Min $27.46- Max $33.37 (Offered hourly rate based on years of experience)
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