Referral Coordinator

Urology office is looking for a qualified and experienced Referral Coordinator in our fast-paced out-patient urology clinic. This position will support both the Gilbert and Phoenix office in our Gilbert location.

Schedule: Full-time, Monday through Friday day shift position.

Essential Duties and Responsibilities:

• Ensure referrals are addressed in a timely manner
• Ensure proper authorization is obtained and with insurance companies to process referrals
• Verifies and updates patient registration information in the practice management system.
• Obtains benefit verification and necessary authorizations (referrals, precertification) prior to patient arrival for all ambulatory visits, procedures, injections and radiology services.
• Uses online, web based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility.
• Creates appropriate referrals to attach to pending visits.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Completes chart prepping tasks daily to ensure smooth check-in process for the patient and clinic.
• Fax referral form to providers that do not require any records to be sent. Be able to process 75-80 referrals on a daily basis. For primary specialty office visits, fax referral/authorization form to PCPs and insurance companies in a timely fashion.

Knowledge and Skills:

• Knowledge of Medical Office operations.
• Knowledge of medical terminology.
• Knowledge of CPT, ICD-9, ICD-10, HCPCS coding.
• Proficiency in basic mathematics, Microsoft Office, Word, Outlook, and Internet.
• Ability to use office equipment, computer.
• Able to be in a seated position, talk on the phone, repetitive keyboard usage and clarity of vision at 20 inches or less.

Education and Experience:

• 2-3 years' experience processing referrals within a medical specialty office.
• 2-3 years of medical insurance experience to include knowledge of all insurance types and benefit structures.

As a Healthcare provider we will require all newly hired employees to be fully vaccinated. Federal guidance allows for disability/medical and religious accommodations with respect to the vaccine requirement. Any requested accommodations must be reviewed and approved (if applicable) in advance of your start date.

We offer a competitive salary and a comprehensive benefit package including health/dental/vision and life insurance, 401K, and a caring work environment. We are an E.O.E.