Administrative and Referral Coordinator

BMC SoftwareBrighton, CO
1d$21 - $29

About The Position

POSITION SUMMARY: The primary purpose of the job is to serve as a liaison for patients in all communications regarding care rendered in the department. Serves as a liaison with patients facilitating access to care, gathering information for registration, schedules appointments, verify demographics and financial information. Obtains pre-authorization from insurance carriers. Responds to faxes and phone calls from patients, BMC departments and outside Facilities. Assists the Department to meet targets. Facilitates communication as follows: between patient and providers, nurse practitioners and medical assistants Between patient's referring physician and BMC other departments, including assuring that correspondence is disseminated properly Between providers and office support personnel. Position: Administrative and Referral Coordinator Department: Primary Care Clinic Schedule: Full Time

Requirements

  • EDUCATION: High School diploma required.
  • EXPERIENCE: Requires thorough knowledge of managed care with 3 years of experience of financial clearance. 3 years of referral scheduling experience preferred.
  • KNOWLEDGE AND SKILLS: Working knowledge of managed care: overall understanding of HMO, PPO, and others; proficient knowledge of process of obtaining insurance approvals, referrals, billing, and co-payments.
  • Experience handling patient flow is helpful
  • Requires strong computer skills and knowledge of the PC applications. Windows environment and Microsoft Office products preferred.
  • Excellent English communication skills (verbal and written).
  • Excellent professional demeanor.
  • Must be able to work effectively with all levels of staff and management
  • Excellent interpersonal skills.
  • Must be able to show empathy and be courteous and diplomatic with patients.
  • Must frequently work independently, take initiative and handle multiple tasks with conflicting priorities
  • Team player with ability to work cross-organizationally to get issues resolved
  • Ability to maintain confidentiality.

Nice To Haves

  • Additional professional certifications or completion of business school preferred.
  • Knowledge of the Eclipsys SDK system, Caretracker and IDX or other comparable registration systems a plus.

Responsibilities

  • Serve as a liaison for patients in all communications regarding care rendered in the department.
  • Facilitate access to care for patients.
  • Gather information for registration.
  • Schedule appointments.
  • Verify demographics and financial information.
  • Obtain pre-authorization from insurance carriers.
  • Respond to faxes and phone calls from patients, BMC departments, and outside Facilities.
  • Assist the Department to meet targets.
  • Facilitate communication between patient and providers, nurse practitioners, and medical assistants.
  • Facilitate communication between patient's referring physician and BMC other departments, including assuring that correspondence is disseminated properly
  • Facilitate communication between providers and office support personnel.

Benefits

  • BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.
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