Orthopaedic Medical Group of Tampa Bay is a fast-paced and well-established Orthopaedic practice with 9 locations. The Medical Referral Coordinator will provide patient care services by processing all referral requests. As part of the preparation process, will verify eligibility, benefits request as needed clinical notes and accurately complete referral. Candidates with medical administrative experience are encouraged to apply. Candidates with eClinical Works and Phreesia experience highly encouraged to apply. The job is currently located 13837 Circa Crossing Drive, Lithia

FL 33547.

Essential Duties and Responsibilities:

The Medical Referral Coordinator is responsible for a variety of tasks including; prior authorizations, verifying insurance and account information, processing and managing referrals. Responsibilities include, but are not limited to: Responsible for providing, assessing and improving customer services/relations with our patients and customers. Assists in management of communication between patient-provider, insurance, and ancillary departments as needed. Responsible for reviewing, updating, inputting, and coordinating medical information by completing required data entry to electronic medical record. Responsible for verifying insurance requirements and ensuring required documentation is available prior to scheduling appointments. Creating new patient registration, by entering patient demographics ensuring accuracy of data into EMR, while avoiding creation of duplicate accounts. Communicating with providers and office staff, using EMR message system, providing a detailed for coordination of patient care. Communicates with primary care provider (PCP) to inform any delays or barriers to patient care. Correct authorizations that were incorrectly entered into referral system. Ensures proper management, security, confidentiality of medical records, adhering to HIPAA standards. Accurately approve referrals that fall within their scope of practice as determined by the medical leadership Support the team and be available during all audits, answering questions regarding referrals and authorizations, as needed. Will be required to process 30 plus referrals per day. Verify, document and update insurance information with each patient encounter Perform related duties as assigned by supervisor. Maintain compliance with all company policies and procedures.

REQUIREMENTS

Experience:

1-2 years referral processing experience preferred 1-2 years insurance verification experience preferred 1+ years medical office experience preferred

Education:

Associates or applicable industry certification

Knowledge/Skills/Abilities:

General health care knowledge. Understanding/compliance of HIPAA laws and regulations. Computer proficiency (MS Office - Word, Excel and Outlook) Ability to demonstrate exceptional customer service skills over the phone Excellent verbal and written communication skills. Ability to read, understand and follow oral and written instructions. Must be well organized, detail-oriented and demonstrate accuracy. Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. Able to work in a team environment. Ability to operate standard office machines and equipment, including telephones, computers, copy machines, fax machines, calculators, scanners and shredders. Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards Type a minimum of 40 wpm

Physical Requirements:

Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a computer keyboard. Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus.

Environmental Working Conditions:

. The noise level of the work environment is usually moderate. Occasional overtime may be required and/or hours may be shortened as business needs dictate.

CANDIDATES MUST ANSWER ALL PRESCREENING QUESTIONS TO BE CONSIDERED FOR THE POSITION

•Orthopaedic Medical Group of Tampa Bay equal Opportunity Employer. OMGTB does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need

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Job Type:

Full-time Pay:

$16.00 - $18.00 per hour

Benefits:

401(k) Dental insurance Disability insurance Health insurance Paid time off Vision insurance

Experience:

Medical office: 1 year (Required) Medical referral: 1 year (Preferred) Ability to

Commute:

Lithia, FL 33547 (Required)

Work Location:

In person