Clinical Referral Coordinator I

Contract

MAJOR JOB DUTIES AND RESPONSIBILITIES

• Initiates and manages clinical referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
• Reviews referrals for completeness and follows up for additional information if necessary.
• Assigns referrals to staff as appropriate.
• Verifies insurance coverage and obtains authorizations if needed from insurance plans.
• Maintains database of insurance companies including numbers for verification of coverage, accepted plans, and requirements for patient eligibility.
• Contacts physician offices as needed to obtain demographic information or related data.
• Enters referrals, documents communications and actions in system.
• Enters referrals, documents communications, actions and other data in system.

EDUCATION/EXPERIENCE

• Requires high school diploma and 1-3 years’ experience in healthcare environment preferred or any combination of education and experience, which would provide an equivalent background.

SKILLS

• Excellent customer-service and telephone skills required.
• Excellent oral and written communications skills required.

If you are available and interested then please reply me with your “ Chronological Resume” and call me on (678)-405-3590. Additional Information Thanks & Regards, ranadheerm@mindlance .com By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply