Referral Specialist/Medical Records

The Referral Specialist plays a crucial role in the healthcare system by managing patient referrals to ensure timely and efficient access to necessary medical services. This position requires strong organizational skills, attention to detail, and a comprehensive understanding of medical terminology and coding. The ideal candidate will facilitate communication between patients, healthcare providers, and insurance companies while adhering to HIPAA regulations.

Responsibilities

Process and manage patient referrals in accordance with established protocols.
Verify insurance coverage and eligibility for referred services.
Utilize ICD-10 and ICD-9 coding systems for accurate documentation.
Maintain accurate medical records and ensure compliance with HIPAA standards.
Communicate effectively with patients regarding their referral status and next steps.
Collaborate with healthcare providers to coordinate care and follow-up appointments.
Assist in resolving any issues related to managed care or insurance verification.
Stay updated on changes in medical terminology and coding practices.
Qualifications

Previous experience in a medical office setting is preferred.
Familiarity with medical coding (ICD-10, ICD-9) is essential.
Knowledge of managed care processes and insurance verification procedures.
Strong understanding of medical terminology and HIPAA regulations.
Excellent organizational skills with the ability to manage multiple tasks simultaneously.
Effective communication skills, both verbal and written.
Proficiency in office software applications to maintain records and documentation.
We invite qualified candidates who are passionate about improving patient care through effective referral management to apply for this vital role.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Work Location: In person