Medical Secretary​/Referral Coordinator

Medical Secretary / Referral Coordinator page is loaded## Medical Secretary / Referral Coordinator locations:
US-FL-Daytona Beachtime type:
Full time posted on:
Posted Todayjob requisition :
JR103956

Day (United States of America)
Medical Secretary / Referral Coordinator This individual is responsible for leading a team in obtaining referrals and authorizations. The Coordinator will also be expected to complete pre-registration screening, as required by insurance companies along with practice policy for a large multiple provider/location practice.

- High School Diploma or GED equivalent required;
Associate's or Bachelor's degree preferred  - Two years of experience in referral and authorization fields required  - Microsoft Office applications knowledge required  - Understanding of medical office operations related to patient registration, referrals, authorization & revenue cycle preferred  - Ensures that all required referrals and or authorizations for patient visits have been obtained.  - Resolves pre-certification and registration concerns prior to a patient's appointment.  

- Reviews details and expectations regarding referral and authorization process with patients and/or family.  - Gathers pertinent information from insurance carriers and staff to determine patient responsibility.  - Serves as primary resource on all departmental referral and authorization matters.  - Develops, implements, and monitors departmental progress, resource tools, and report findings on a regular basis.  - Communicates with management and staff regarding insurance carrier contractual and regulatory requirements.  

- Demonstrates overall knowledge of authorization, benefits and claims processing for insurance companies and plans both private and government.  - Contact review organizations and insurance companies to ensure prior approval requirements are met.  - Present necessary medical information such as history, diagnosis, and prognosis.  - Researches and corrects invalid or incorrect patient demographic information.  - Coordinate appointments as needed with outside facilities and specialist.  

- Assists with logistical and/or clerical problem resolution related to the patient's medical record, authorization and billing issues.  - Follows through with any problems or questions in a timely manner, by understanding and using resources available for problem solving in a diplomatic and tactful manner  - Schedule and supervise staff of ambulatory office referral specialists  - Educates and trains staff on referral management, authorizations, and pre-registration  - Works with leadership to establish and maintain effective policies and procedures for referrals, authorizations, revenue cycle, and co-payment collection for the department  - Contacts patients for updated insurance information, when applicable.  

- Prepares reports of daily activity as requested for management.  - Performs financial reviews and calculations based upon information received from the insurance company or plan.
- Participates in meetings reporting statistical referral, authorization, and pre-registration measurements and indicators, and communicating required information.
- Assists management in month end reporting as requested.
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