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Job Summary

Proliance Retina, a division of Proliance Surgeons, Inc., currently has an opening for a qualified Referral Coordinator.

Job Description

Posted: 08/18/2020
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

How to Apply:

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

 



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