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Healthcare
Clinical Data Systems Specialist
Tabor City, NC
Find & Apply For Clinical Data Systems Specialist Jobs in Tabor City, North Carolina
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Overview Join our dynamic healthcare team as a Referral Coordinator, where your organizational skills and healthcare knowledge will play a vital role in streamlining patient care and ensuring seamless communication between providers, insurance companies, and patients. In this energetic role, you will coordinate referrals, verify insurance information, and manage medical records with precision. Your proactive approach will help facilitate timely access to specialized services, improve patient outcomes, and support our mission to deliver exceptional healthcare experiences. Responsibilities Facilitate the referral process by coordinating between healthcare providers, specialists, and insurance companies to ensure timely approvals and appointments. Verify insurance coverage and obtain prior authorization for services using health insurance policies and managed care guidelines. Maintain accurate and confidential medical records in electronic health records (EHR) systems, adhering to clinical confidentiality policies and HIPAA regulations. Utilize medical terminology, CPT coding, ICD-9, ICD-10, and ICD coding to accurately document procedures and diagnoses for billing and record-keeping purposes. Communicate effectively with patients regarding referral status, appointment scheduling, and insurance requirements while providing excellent customer service. Collaborate with medical office staff to ensure all documentation complies with healthcare policies and billing standards. Manage insurance verification processes using EMR/EHR systems and ensure all necessary documentation is complete for clinical and billing purposes. Experience Prior experience working in a medical office or healthcare setting is highly preferred. Strong knowledge of health insurance policies, managed care processes, and insurance prior authorization procedures. Familiarity with medical billing, medical coding (CPT, ICD-9/10), and electronic health record (EHR) management systems. Proficiency in Microsoft Office applications for documentation and communication tasks. Understanding of HIPAA regulations, clinical confidentiality policies, and medical terminology to ensure compliance and data security. Excellent customer service skills with the ability to communicate complex information clearly and empathetically. Experience handling medical records management, insurance verification processes, and coordinating referrals efficiently. Join us in making a difference by ensuring patients receive the right care at the right time! We are committed to supporting your professional growth while fostering a positive work environment dedicated to excellence in healthcare delivery.