Referral Authorization Coordinator

Company: Trios Health
Location: Kennewick
Posted on: October 29, 2024

Job Description:

Job Description

• Referral Management:
• Receive, review, and process incoming referrals from external healthcare providers in a timely manner.
• Verify referral information for completeness and accuracy.
• Coordinate with patients and external providers to obtain necessary medical records and information.
• Maintains ongoing tracking and appropriate documentation on referral and authorizations.
• Communication:
• Facilitate effective communication between our clinic and external healthcare partners.
• Communicate referral status updates to patients, providers, and internal staff as needed.
• Address inquiries and provide information related to the referral process.
• Contacts organizations and insurance companies to ensure prior authorization requirements are met.
• Documentation and Record Keeping:
• Maintain accurate and up-to-date records of all referrals and related communications.
• Ensure compliance with privacy and confidentiality regulations in handling patient information.
• Ensure complete and accurate registration, including patient demographics and current insurance information.
• Collaboration:
• Collaborate with healthcare providers to streamline referral processes and improve overall efficiency.
• Work closely with the administrative and clinical teams to ensure a smooth transition for patients referred to our clinic.
• Exemplifies a team concept but can also work independently and manages work time and resources effectively.
• Works effectively under pressure handling demands from multiple sources professional and courteously.
• Follow-up and Reporting:
• Conduct follow-up activities to track the progress of referrals and address any issues that may arise.
• Generate reports on referral statistics and outcomes for review by management Benefits: Medical Insurance: PPO, HRA, HDHP offered through Blue Cross Blue ShieldDental Insurance: Offered through Delta DentalVision Insurance: Offered through VSPFree EAP (Employee Assistance Program) Paid Time Off (Up to 25 days a year or 200 hours)Employer Paid Short-Term and Long-Term DisabilityCoverage options for Medical, Dental and Vision include: Employee, Employee & Spouse/Domestic Partner, Employee & Child, or FamilyVoluntary Benefits: Health Savings AccountFlex Spending Account: Medical & DependentVoluntary Life: including Employee, Spouse/Domestic Partner, and ChildCritical Illness: including Employee & Spouse/Domestic PartnerHospital IndemnityAccident CoverageIdentity Theft ProtectionLegal Aid401(k)

Keywords: Trios Health, Richland , Referral Authorization Coordinator, Other , Kennewick, Washington