Referral & Patient Coordinator
SMS Group of Companies
Job Description
Job Description
Overview
We are seeking a proactive and detail-oriented Referral & Patient Coordination Specialist to join our dynamic healthcare team. In this vital role, you will serve as the primary point of contact for patient referrals, ensuring seamless communication between patients, healthcare providers, and insurance companies. Your expertise will help facilitate efficient care coordination, verify insurance details, and manage medical records with precision. If you thrive in a fast-paced environment and are passionate about delivering exceptional patient service, this opportunity is perfect for you!
Duties
- Manage patient referrals by coordinating with healthcare providers and ensuring all necessary documentation is complete and accurate
- Verify insurance coverage and benefits through managed care systems to facilitate timely approvals
- Assist patients with appointment scheduling, follow-up communications, and addressing inquiries related to their care plans
- Maintain and organize medical records, ensuring compliance with HIPAA regulations and confidentiality standards
- Utilize medical terminology, CPT (Current Procedural Terminology) codes, ICD (International Classification of Diseases) codes such as ICD-9 and ICD-10, to accurately document procedures and diagnoses
- Support insurance verification processes by reviewing medical records and coding information for billing accuracy
- Collaborate with medical offices and dental practices to streamline referral processes and improve patient experience
Requirements
- Prior experience in a medical office or dental office setting is highly preferred
- Knowledge of managed care processes, insurance verification, and medical coding including CPT, ICD-9, ICD-10, and ICD coding systems
- Familiarity with HIPAA regulations to ensure patient privacy and data security
- Strong understanding of medical terminology and medical records management
- Excellent organizational skills with the ability to handle multiple tasks efficiently in a fast-paced environment
- Office experience that demonstrates attention to detail and effective communication skills
- Experience working with insurance providers or in a healthcare administrative role is a plus
Join us in making a difference by coordinating exceptional patient care through efficient referral management! We are committed to supporting your professional growth while fostering a positive work environment dedicated to excellence.
Work Location: In person
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