Referral Specialist Job at Community Medical Group, Miami, FL 33175

cWM1VkFrOVFlV2lMdjdzelhHYWxmdz09

Job Description

Summary

The Referral Coordinator is responsible for the effective management of all incoming specialist referrals.

Duties and Responsibilities

1. Responsible for coordinating and processing of all patient referrals for specialty services.

2. Utilizes a high degree of accuracy in obtaining and verifying that all registration data, demographic and insurance information is correct and up to date.

3. Acts as liaison between Community Medical Group and other healthcare providers while exhibiting and utilizing a high level of customer services skills.

4. Performs eligibility checks on members as necessary by telephone or electronically as appropriate.

5. Follows procedures for proper authorization and processing of all referral services including obtaining approval from our medical director.

6. Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different clinics.

7. Sets up appointments and transportation as necessary.

8. Contacts the patient on a timely basis for all scheduling requirements.

9. Communicates with patients to ensure follow-through with referrals.

10. Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.

11. Coordinates pre-admission testing requirements with clinic personnel and patients.

12. Completes all administrative functions related with referral activities in an efficient manner.

13. Enters all referral, hospital, outpatient and other patient specialty health service authorizations into the computer system following CMG policies and procedures.

14. Responsible for monitoring all referral reports not received and follow-up in a timely manner.

15. Performs duties in honest and ethical manner.

16. Perform other duties as assigned.

Summary

The medical records technician is responsible for the overall coordination and supervision of the patients’ medical records and the incorporation of clinical documents into those records.

Duties and Responsibilities

1. Processes and maintains medical records of clinic patients in a manner consistent with medical, administrative, ethical, legal and regulatory requirements.

2. Maintains medical records using Electronic Health Records (EHR)

3. Breaks down discharged patients’ records to upload them properly into EHR.

4. Properly uploads past medical records.

5. Logs in and out physician orders.

6. Processes and scans patient documents into the EHR

7. Maintains documents in locked cabinets/room to assure confidentiality of patient information.

8. Monitors check in and check out of patient charts by corresponding professional staff.

9. Stamp all subpoenas and other attorney requests with the received dated and email them to Corporate office.

10. Ensures that all HIPAA standards are in compliance.

11. Performs duties in honest and ethical manner.

12. Performs other duties as assigned.

Job Type: Full-time

Pay: $18.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Experience:

  • Medical records: 1 year (Preferred)
  • Referrals: 1 year (Preferred)

Language:

  • Fluent English (Required)
  • Fluent Spanish (Required)

Work Location: In person

Similar Jobs

Superman Moving & Storage, LLC

Movers & Box Truck Drivers Job at Superman Moving & Storage, LLC

About usWe are agile and our goal is to We are a Moving & Storage Company, Moving House Hold Goods. .Our work environment includes: Modern office setting Food providedWe're looking for an

Bath & Body Works

Lake Manager Job at Bath & Body Works

Build a team that works well together based on the needs of the store. Set the direction and goals for the day/shift when associates arrive for work.

Westgate Resorts

Housekeeping Manager Job at Westgate Resorts

Exclusive discounts for Team Member (i.e., hotels, cruise, resorts, restaurants, entertainment, etc.). Respond quickly to guest requests and follow-ups.

Hospital for Special Surgery

Physician Assistant Job at Hospital for Special Surgery

Post-operative checks with neurologic assessments. Triage and prioritize patient issues including medical and surgical issues, discharges, etc.

Niagara Bottling North America

Production Operator Job at Niagara Bottling North America

Develop lasting relationships with great people. Responsible for overall maintaining of a production line, including starting and stopping of all equipment