Referral CoordinatorPrint

Job Summary

Proliance Retina, a division of Proliance Surgeons Inc., is seeking an experienced referral coordinator for a full-time position. This position requires extensive knowledge of private and government payer rules in regards to referrals and prior-authorizations.

Job Description

Posted: 07/08/2019
Status: Full Time
Type: Administrative
Care Center: Proliance Retina
City: Bellevue, WA

Proliance Retina is seeking an experienced referral coordinator for a full-time position.  This position requires extensive knowledge of private and government payer rules in regards to referrals and prior-authorizations.

 

Primary responsibilities include:

  • Identify, track, and obtain appropriate referrals from insurance and/or PCP for all office visits;
  • Request prior-authorizations for procedures and surgeries;
  • Urgent referrals handled as a top priority;
  • Obtain retro-referrals and authorizations as indicated;
  • Maintain accurate records, tracking the status and receipt of completed referrals;
  • Additional billing office tasks may be added to a daily task list as indicated.

 

Qualifications include:

  • At least 2-year experience with referrals and prior-authorizations (highly preferred in ophthalmology);
  • Knowledge of ICD-10 and CPT coding is required;
  • Must be up-to-date on all changes in health insurance industry and health exchange programs;
  • Strong computer and communication skills are a must;
  • NextGen knowledge is preferred;
  • Strong attention to detail and concern for completing task correctly and efficiently;
  • Ability to prioritize responsibilities according to urgency and importance;
  • Maintains a professional positive attitude at all times;
  • Ability to remain calm in high-pressure situations.

Please send you resume with a cover letter to Yuliya Petrov at y.petrov@proliancesurgeons.com.



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