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Healthcare
Clinical Data Systems Specialist
Kissimmee, FL
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Coordinate and process referrals for patients to specialist providers
Communicate with patients, providers, and insurance companies to ensure timely and accurate referral processing
Obtain necessary medical records and documentation for referral authorization
Verify insurance coverage and eligibility for referred services
Maintain accurate and up-to-date referral records in electronic medical record system
Collaborate with medical office staff to schedule appointments and follow-up visits
Assist in coding and billing processes related to referrals
Ensure compliance with HIPAA regulations and patient confidentiality
Skills:
Experience working in a medical office or healthcare setting
Knowledge of managed care systems and insurance verification processes
Familiarity with medical coding systems such as ICD-10 and ICD-9
Proficiency in using electronic medical record systems
Strong attention to detail and organizational skills
Excellent communication and interpersonal skills
Ability to prioritize tasks and work efficiently in a fast-paced environment
Note:
This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, skills, qualifications, or working conditions associated with the role.