Referral Specialist
Location: San Antonio, TX
Job Type: full-time
Company: Aledade
Category: Non-Provider
Job Description Apply Now
The Referral Specialist/Patient Coordinator is responsible for managing patient referrals, coordinating specialist appointments, and providing exceptional support.This position requires a strong understanding of insurance requirements, referral processes, and excellent interpersonal skills to interact effectively with patients, physicians, and other healthcare providers.
Responsibilities:
Referral Management:
- Process and track all patient referrals, ensuring timely completion and adherence to insurance guidelines.
- Obtain necessary authorizations and pre-certifications from insurance companies.
- Maintain accurate records of referrals and correspondence.
- Communicate effectively with referring physicians, specialists, and patients regarding referral status.
- Troubleshoot referral issues and escalate complex cases as needed.
- Stay up-to-date on insurance requirements and referral procedures.
- Greet patients and visitors in a friendly and professional manner.
- Answer phone calls and schedule appointments.
- Verify patient insurance information and demographics.
- Collect co-pays and process payments.
- Prepare charts and ensure all necessary paperwork is completed.
- Maintain a clean and organized reception area.
- Assist patients with inquiries and provide general information about the practice.
- Manage incoming and outgoing mail.
- Perform other related duties as assigned.
- Participate in team meetings and training sessions.
Qualifications:
- High school diploma or equivalent required
- Proven experience in a medical office setting, specifically with referral processing and patient coordination.
- Strong understanding of medical terminology, insurance procedures, and HIPAA regulations.
- Excellent communication (written and verbal) and interpersonal skills.
- Ability to multitask and prioritize in a fast-paced environment.
- Proficient in using electronic health records (EHR) systems; specifically AthenaHealth.
- Strong computer skills, including Microsoft Office Suite.
- Ability to work independently and as part of a team.
- Positive attitude and a commitment to providing exceptional patient care.