791 ReferralPrior AuthRecords Coordinator
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Job Location:
Fayetteville, GA - USA
Yearly Salary:
USD 1 - 2
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Referral / Prior Authorization / Records Coordinator
About Us
At A Brighter Future (ABF) Healthcare Services Inc. we are a leading primary care medical clinic dedicated to delivering compassionate high-quality patient care. Our mission is to enhance the health and well-being of every patient through professionalism empathy and excellence in service.
Were seeking a Referral / Prior Authorization / Records Coordinator to join our growing team. If youre looking for a meaningful healthcare career and want to be part of a supportive patient-centered environment ABF is the perfect place for you.
Position Summary
The Referral / Prior Authorization / Records Coordinator plays a vital role in coordinating patient referrals managing prior authorization requests and handling medical records efficiently. This position ensures patients receive timely access to care while maintaining compliance with insurance and documentation standards.
Key Responsibilities
Referral Coordination
- Manage and process patient referrals to specialists and outside healthcare providers.
- Coordinate with physicians patients and external facilities to ensure completeness and accuracy of referrals.
- Maintain detailed referral logs and track outcomes.
- Communicate with patients regarding referral details and appointment instructions.
- Follow up on referrals to confirm completion and documentation.
Prior Authorizations
- Review patient charts and insurance requirements to determine authorization needs.
- Submit and track prior authorization requests for services procedures and medications.
- Communicate with insurance companies to obtain approvals or resolve denials.
- Maintain accurate records of authorization requests and responses.
- Ensure timely follow-up to prevent care delays.
Records Coordination & Administrative Support
- Process and track requests for medical records promptly and accurately.
- Maintain and update electronic medical records (EMR) systems.
- Support front office operations including scheduling and phone management related to referrals and authorizations.
- Uphold confidentiality and compliance with
HIPAA regulations.
Communication & Collaboration
- Serve as a liaison between patients providers and insurers.
- Clearly explain insurance coverage referral processes and authorization status to patients.
- Collaborate with the clinical and administrative team to support seamless patient care.
Qualifications
- Education: High school diploma or equivalent required; Associates or Bachelors degree in Healthcare Administration or a related field preferred.
- Experience: 12 years in a healthcare setting (preferably in referrals prior authorizations or medical billing).
- Knowledge:
- Familiarity with medical terminology and insurance authorization processes.
- Proficiency in EMR systems and related software.
- Strong understanding of HIPAA and patient privacy laws.
- Skills:
- Excellent organizational and multitasking abilities.
- Strong communication and interpersonal skills.
- Detail-oriented with the ability to work efficiently in a fast-paced environment.
Required Experience:
Senior IC
Key Skills
- General Counsel
- Information Management
- Adobe Acrobat
- HIPAA
- Information Governance
- Records Management
- Sharepoint
- Filing
- Knowledge Management
- Medical Records
- iManage
- Taxonomy
About Company
Monday – Thursday 9:00a – 4:00p Friday 10:00a – 2:00p Weekends CLOSED Our diverse services are tailored to your unique journey. Make an appointment today to ...
