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HealthPRO - Heritage New Patient Referral Coordinator in Chula Vista, California

The New Patient Referral Coordinator is responsible for effectively and efficiently verifiying all new patient eligibility for outpatient clinics.

KEY RESPONSIBILITIES:

  • Enters in all new referrals to EMR.

  • Verifies insurance coverage and eligibility.

  • Submit authorizations.

KEY JOB DUTIES:

  • Verifies ALL New Patient eligibility.

  • Enters in ALL New Referrals or PT, ST, OT (demos/insurance/referral reports).

  • Calls to schedule their initial EVAL.

  • Sends out Post card to New referrals.

  • Calls MD office for referral corrections or discrepancies.

  • Submits and Corrects authorizations for new referrals.

  • Insurance language and understanding of benefit checks to explain to patients.

  • Tricare, CHG and VA, Dept of Labor auth submissions on Portal.

  • Heavy data entry, heavy phone calls when verifying insurances.

  • Ability to multitask and enter in referrals in a timely manner, ideally entered an called within 2 days of received referral.

  • Minimum 2 years of related experience.

  • Excellent interpersonal and presentation skills.

  • Experience in Databases, Word, Excel and Internet research.

  • Exceptional customer service focus.

  • Ability to communicate effectively via telephone and email.

  • Excellent work ethic.

  • Excellent organizational skills, attention to detail, accuracy and follow through.

  • Must be able to multi-task and juggle multiple projects.

  • Ability to work effectively as a team.

hannahc@healthpro-heritage.com

Requisition ID: 2021-46487

External Company Name: Healthpro Heritage, LLC

External Company URL: www.healthpro-heritage.com

Full Name: First Last: Hannah Cumming

Number: 619-743-9080

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