Referral Coordinator
Summa Health Medical Group
Vascular Surgery - 201 5th St, Suite 2, Barberton, OH 44203
Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.
Summary:
Responsible for organizing and coordinating patient level referrals to specialists, agencies and outpatient facilities. Coordinates pre-authorization components and requirements, worker’s compensation or other disability needs and schedules and assists in scheduling of patient appointments in coordination with peer coordinators and providers.
Minimum Qualifications:
Formal Education Required:
- High School graduate minimum
- Medical Assistant, Medical Office or Medial Billing experience preferred
Experience & Training Required:
- Two (2) years of medical office experience required of which at least one (1) year of experience with insurance verification, front desk registration duties or relative medical office roles.
- At least one (1) year experience working with an Electronic Health Record (EHR) system
Other Skills, Competencies and Qualifications:
- Knowledge of medical terminology
- Knowledge of CPT and ICD-10 codes
- Demonstrated understanding of the variations in insurance plans and requirements
- Ability to manage billing questions, co-pay questions, pre-authorization questions or other related insurance coverage regulations with patient and third party contracted payers
- Ability to solve practical problems, interpret a variety of instructions furnished in written, oral, diagram or schedule form and to work reliably and with professionalism in a high-volume, high-demand medical environment.
- Proficiency in Microsoft Word, Microsoft Excel, and e-mail. Prefer skills in using referral software, using health plan web sites and familiarity with electronic medical records.
- Excellent communication skills and demonstrated ability to work independently and within a team.
- Ability to interact with populations of patients/customers with an understanding for their needs for self-respect and dignity
Level of Physical Demands:
- Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently
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