Job Details

• All external results are received, documented, and acted upon.
• Pre-authorizations and insurance requirements are met proactively.
• Patients are not lost in transition between providers or systems.
• Insurance Verification & Authorizations

  Confirms patient insurance coverage and obtaining necessary pre-authorizations needed from referring physicians for appointments or procedures.

  
  

• Appointment Scheduling: Coordinates appointments between patients and healthcare providers, both within the facility (Lou Ruvo) for limited services and with external specialists.
• Patient Communication & Navigation: Serves as a primary point of referral contact for patients, answering questions, providing information, and guiding them through the referral process.
• Provider Coordination: Coordinates with primary care physicians, specialist providers, hospitals, and other healthcare facilities to facilitate the transfer of medical information and ensure continuity of care.
• Documentation & Record Keeping: Maintains accurate and up-to-date patient records, including progress notes of referral, preparing charts before the next follow up visits, etc. in the EPIC system.
• Compliance & Regulations: Ensures all referral activities adhere to healthcare policies, insurance guidelines, and privacy regulations like HIPAA.

Referral Tracking: Implements tracking mechanisms to monitor the status of each referral and ensure patients receive their appointments in a timely manner