Referral Coordinator II

divh2Referral Coordinator II/h2pThe Referral Coordinator II processes routine and moderately complex referrals, while supporting team productivity and referral workflow coordination./ppPrimary Responsibilities/pulliActs as a developing subject matter resource for referral processes and supports team members with routine questions./liliServes as liaison between hospital departments, health plans, physicians, patients, vendors and other referral sources to facilitate referral processing./liliReviews referrals for completeness and accuracy and follows up for additional information when needed. Verifies insurance coverage and obtains authorizations when required according to established processes./liliContacts physician offices as needed to obtain demographic information or related data./liliEnters referrals, documents communications, actions and other data in system./liliEscalates complex referral issues or authorization challenges to senior staff or leadership as appropriate./li/ulpMinimum Qualifications/pulliHigh school diploma or GED and 1+ year of customer service or healthcare administrative experience required; or any combination of education and experience which would provide an equivalent background./liliMedical Assistant certificate / certification from an accredited training program required./liliStrong knowledge of medical terminology, plan specific guidelines; ICD-9 and CPT coding preferred./li/ulpCompensation:/pp$23.00 to $34.50/p/div