Overview
Referrals/Front Office Coordinator Jobs in La Porte, TX at Westman Atelier
Title: Referrals/Front Office Coordinator
Company: Westman Atelier
Location: La Porte, TX
Job Summary
The Referrals/Front Office Coordinator will be responsible for preparing and processing all managed care referral paperwork. They will manage the process of scheduling patients for exams and procedures with specialists and providers outside of the primary care physician’s office. This group is looking for someone who is interested in being part of a dynamic team that focuses on excellent service to others while handling clerical, environmental, and organizational tasks. This position will be stationed in La Porte, and servicing multiple locations. Must have the ability to travel.
Job Responsibilities
Process patients’ referrals and ensure that patients are scheduled for their recommended non-PCP appointments
Liaise between Medicare patients/offices and the providers, making sure to effectively process, monitor and communicate all aspects of the patients’ referrals
Maintain list of all preferred specialists and ancillary providers for the assigned area
Obtain referral authorizations if required by the health plan
Call the referred Specialists and schedule appointment for patients
Communicate respectfully and effectively with patients regarding appointments
Follow guidelines/workflows to complete & log all referrals processed through system
Meet monthly/quarterly goals regarding utilization and process of ordered referrals
Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
Assist with coordination of activities related to insurance pre-certification/authorization
Other duties as assigned
Front Desk Duties:
Answering phones efficiently and with the proper etiquette, directing the calls to the appropriate person/department. Updating patient information in computer when necessary
Scheduling new patients, collecting insurance information, filling out proper forms to set up new patient files and preparing file labels
Verifying medical insurance for all appointments (at least one day prior to service) and walk-in patients
Maintaining inventory of new patient forms and office supplies required for front desk activities
Monitoring patient wait time and ensuring physicians’ on-time schedule. Prioritizing appointment versus walk-in. Assisting in pulling charts for walk-in patients.
Providing patients the proper documentation for quick referrals using preferred network
Ensuring patients leave with all necessary forms and paperwork (i.e. receipt of visit, lab requisition, prescription, etc.)
Scheduling any necessary follow-up appointments, confirming next days appointments, and also following up on any missed appointments
Respecting and maintaining privacy and dignity of patients to assure client confidentiality at all times
Job Qualifications
High school diploma or GED equivalent
Two (2) years of experience as a Referral Coordinator with experience working with the following payors:
Cigna
Humana
WellCare
Superior
Aetna
UnitedHealthcare
BlueCross BlueShield
Molina Healthcare
Bilingual (Spanish) preferred.
Benefits
Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
FSA and Life Assistance Program (EAP)
401(k) Retirement Plan
Health Advocacy, Travel Assistance, and My Secure Advantage
PTO Accrual and Holidays
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