We are looking for a dynamic and detail-oriented Referral Coordinator to join our General Surgery team in Boise ID!
As a Referral Coordinator you will be responsible for serving as a specialist in the coordination of all aspects of specialty referrals; both incoming and outgoing eligibility verification and maintenance for outpatient clinic patients. You will obtain and maintain accurate client information and verify with appropriate agencies. You will also report accurate data and statistics for referrals as needed. Referral Coordinators ensure that processes in each work queue are completed accurately and efficiently in compliance with all governing/internal policies.
POSITION DETAILS: This Full-Time position will support the team of 5 General Surgery providers in Boise ID. This position will work Monday - Thursday with hours of 7:30AM - 4:00PM and Fridays from 7:00AM - 11:30AM. Primary responsibilities will be ensuring that all referrals authorizations medical clearances etc are obtained for each patient in a timely fashion. The General Surgery Clinic in Boise is located at 1072 N Liberty St Ste 300 Boise ID 83704.
SKILLS KNOWLEDGE EDUCATION AND EXPERIENCE:
High school diploma or equivalent Associate degree preferred
1 year of healthcare related referral experience required 3 years preferred
ESSENTIAL FUNCTIONS:
Process and approve referrals according to network and practice policies.
Obtain and verify documentation eligibility benefits and insurance requirements.
Track and update referrals in the EMR system ensuring accuracy and timely completion.
Communicate with providers patients and insurance companies to resolve issues and gather missing information.
Compile and send medical data to specialists; schedule diagnostic tests if needed.
Ensure compliance with HIPAA and organizational standards.
Maintain accurate patient records and update charts with specialist consults.
Educate patients on referral details and expectations.
Serve as liaison and internal consultant for staff; train new Referral Coordinators.
Perform additional administrative tasks including appointment reminders and backup coverage.
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health!
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Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race color religion gender marital status national origin age disability sexual orientation or any other characteristic protected by law.
Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
IC
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more