Anne Arundel Dermatology At Anne Arundel Dermatology we give exceptional care - to our patients and to eachother. Patient First | Caring | Accountability | Trust | One Team | Growth Founded 50+ years ago with a mission to provide the highest quality and full spectrum of medical, surgical, and esthetic skin care services to each and every one of its patients, Anne Arundel Dermatology has assembled the finest group of dermatologists in the Mid-Atlantic and Southeastern states. With 250+ clinicians and 110+ locations in 7 states, we're thriving, growing, and looking to add talented individuals to our team! Why join Anne Arundel Dermatology? We are committed to continual training and education for our physicians and staff. We are on top of the latest developments in dermatology including ongoing research, emerging treatments, new medications and prevention methods. You can find more than just a job with Anne Arundel Dermatology. We believe in providing our new associates with intensive hands on training and long-term career growth opportunities from within. Referral Coordinator
Job Summary:
The Referral Coordinator plays a vital role in ensuring the seamless and efficient management of patient referrals within the office. The Referral Coordinator is responsible for understanding and communicating referral requirements based on various insurance plans, as well as running appointment reports to identify patients in need of referrals. They generate and submit referral requests to PCP offices, and when necessary, directly engage with insurance companies for referrals. The coordinator follows up on requested referrals, maintains effective communication with the front office team, and scans referral documents into patient charts.
Duties/Responsibilities:
Gain familiarity with the referral criteria of each insurance plan and inform others of any changes in requirements.
Utilize the EMR/PM system to extract appointment data and identify patients in need of referrals based on their insurance plans.
Create and submit referral requests to PCP offices, and if necessary, directly request referrals from the insurance company.
Keep track of requested referrals and provide updates to the front office team regarding the status of referrals.
Scan and file referral documents into the appropriate patient charts.
Foster effective communication and maintain positive relationships with referring PCP offices.
Other duties assigned as deemed necessary by management.
Qualifications
Education and Experience:
High School Diploma or equivalent Prior experience working with insurance plans preferred
Required Skills/Abilities:- Knowledge of insurance plans: Understanding different insurance plans and their referral requirements is crucial for effectively managing the referral process.
- Excellent attention to detail
- Communication skills: Effective communication is vital for understanding and conveying referral requirements to relevant parties, such as insurance companies, PCP offices, and the front office team.
- Organization and time management: Managing referral requests, follow-ups, and document scanning requires excellent organizational skills and the ability to prioritize tasks to meet deadlines.
- Compliance knowledge: Understanding and adhering to relevant healthcare regulations and privacy laws is important to maintain patient confidentiality and comply with legal requirements throughout the referral process.
Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer. Must be able to lift 15 pounds at times.
