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Referral Coordinator for a Primary Care Clinic

NKC Health

Here at NKC Health our mission is to empower hope and healing in every life we touch. Whether you are serving patients at a primary care clinic, specialty clinic, or in a support capacity, every team member works together to complete this mission.

NKC Health OBGYN-12th Floor clinic is hiring a Referral/Pre-Authorization Coordinator! If you’re looking for a great opportunity to impact our communities, join our NKC Health team!

Why NKC Health Medical Group?

Comprehensive Benefits (Medical, Dental, Vision, Life, FSA)

Employer matched retirement plan

Paid time off for personal/vacation/sick

Six paid holidays per year

Day shift schedules

What does a Referral/Pre-Authorization Coordinator do?

Works collaboratively with the health care team and the patient to schedule referral appointments, and independently completes the process for required pre-certification and prior authorizations in a timely manner.

Provides quality service by acting as a liaison between healthcare team, patient and specialists to coordinate outpatient referrals and obtain pre-certifications or prior authorizations as necessary.

Utilizes the EMR system to its full potential in capturing the necessary information needed for making an appointment and communicating necessary information such as referral requirements, patient demographic information, insurance and approval information, and comments about specific patient information key to a successful appointment.

Provides education to patients about the importance of the referral process and service provided by the physician’s office, which may include subspecialty focus.

Communicates to physicians and other health care providers the various requirements and processes involved with medical referral authorizations for the most expedient patient appointment and successful visit.

Completes the referral and/or preauthorization process by ensuring the specialists’ report or test results are received.

Notifies the referring physician when a patient does not keep a referral appointment or a pre-authorization is denied.

Completes FMLA, ADA and other medical paperwork as directed by the physician.

High school graduate or GED

Minimum two years of experience in a physician office preferred.

Working knowledge of medical terminology and knowledge of various insurance company requirements for pre-certification and referrals.

Basic office skills, critical thinking, detail oriented and able to multitask in a fast paced environment.

Here at NKC Health, we believe in care empowered. Our actions are the concrete things we do to differentiate ourselves: we lead with heart, we always move forward, and we connect to more.

NKC Health is an Equal Opportunity Employer and values diversity in our organization. We do not discriminate against any applicant for employment or employee on the basis of race, color, religion, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.

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Vacancy posted 4 days ago
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