Job Summary We are seeking a dedicated and detail-oriented Medical Referral Specialist / Back Office Assistant to support our healthcare team in managing patient referrals, medical records, and administrative tasks. The ideal candidate will possess strong knowledge of medical terminology, health insurance policies, and electronic health records management. This role is essential in ensuring seamless communication between providers, patients, and insurance companies while maintaining strict adherence to confidentiality and compliance standards. The successful candidate will demonstrate excellent customer service skills, proficiency in medical coding, and a proactive approach to office operations. Duties Process patient referrals efficiently by verifying insurance coverage and obtaining necessary authorizations through managed care protocols. Manage electronic health records (EHR) and medical records with accuracy, ensuring compliance with HIPAA and clinical confidentiality policies. Perform insurance verification and prior authorization procedures to facilitate timely patient care and billing processes. Utilize CPT coding, ICD-9, ICD-10, and ICD coding systems to accurately document diagnoses and procedures for billing and reporting purposes. Assist in scheduling appointments, coordinating with healthcare providers, and maintaining organized office workflows. Support medical billing and coding activities by reviewing claims for accuracy and completeness before submission. Communicate effectively with patients, insurance companies, and healthcare providers to resolve issues related to coverage or documentation. Maintain up-to-date knowledge of health insurance policies, medical terminology, and industry regulations to ensure compliance and efficiency. Experience Prior experience working in a medical office or healthcare setting is required, with a focus on administrative or back-office functions. Demonstrated proficiency in electronic health records (EHR) systems and Microsoft Office applications. Knowledge of HIPAA regulations, clinical confidentiality policies, and medical billing procedures. Familiarity with health insurance policies, managed care processes, insurance prior authorization procedures, and medical coding standards such as CPT, ICD-9, ICD-10, and ICD coding. Strong organizational skills with the ability to handle multiple tasks simultaneously in a fast-paced environment. Excellent customer service skills with a professional demeanor when interacting with patients and healthcare professionals. Understanding of medical terminology, medical records management, and insurance verification processes is essential for success in this role. Join our team as we streamline healthcare operations through meticulous administration and compassionate service!

Pay:

$22.00 - $26.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) 401(k) matching Dental insurance Employee discount Health insurance Paid time off Vision insurance

Work Location:

In person