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Referral Coordinator
Job
KFMC
Miami, FL (In Person)
$54,215 Salary, Full-Time
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Job Description
Job Summary We are seeking a proactive and detail-oriented Referral Coordinator to join our dynamic healthcare team. In this vital role, you will serve as the primary point of contact for managing patient referrals, coordinating communication between providers, insurance companies, and patients to ensure seamless care transitions. Your energetic approach will help streamline referral processes, optimize patient experiences, and support the overall efficiency of our medical services. This position offers an exciting opportunity to contribute to quality healthcare delivery through effective coordination and communication. Duties Manage and process patient referrals efficiently, ensuring timely follow-up and documentation. Verify insurance coverage and benefits, including insurance verification procedures, to facilitate smooth authorization processes. Collaborate with medical offices, specialists, and insurance providers to obtain necessary authorizations and resolve any referral issues. Maintain accurate and up-to-date medical records, including referral documentation, CPT (Current Procedural Terminology) codes, ICD (International Classification of Diseases) codes such as ICD-9 and ICD-10, and other relevant medical coding information. Ensure compliance with HIPAA regulations by safeguarding patient confidentiality during all referral activities. Communicate clearly with patients regarding referral procedures, appointment scheduling, and follow-up instructions. Utilize medical terminology effectively to interpret provider notes and accurately document referral details in electronic health records. Requirements Proven experience in a medical office setting or healthcare environment with familiarity in office procedures. Strong knowledge of managed care processes, insurance verification, and medical coding including CPT, ICD-9, ICD-10, and ICD coding standards. Excellent organizational skills with the ability to manage multiple referrals simultaneously while maintaining accuracy. Familiarity with HIPAA regulations to ensure patient privacy and data security. Experience working with medical records management systems and electronic health records (EHR). Effective communication skills to liaise confidently between providers, insurance companies, and patients. Prior dental office experience or additional healthcare specialties is a plus but not required. Join us as a Referral Coordinator if you're passionate about improving healthcare delivery through meticulous coordination and exceptional service! Your energy will drive smoother workflows and better patient outcomes every day.