Referrals Coordinator
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Job Location:
Glendale, WI - USA
Monthly Salary:
Not Disclosed
Posted on:
5 days ago
Vacancies:
1 Vacancy
Job Summary
About Optima Medical
Optima Medical is an Arizona-based medical group consisting of30locations and over130medical providers who care for more than200000patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities Live Better Live Longer through personalized healthcare with a focus on preventing the nations top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services behavioral health allergy testing and immunotherapy in-house lab testing imaging chronic disease management and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.
We are seeking a Referrals Coordinatorto join our growing team and support the coordination and management of patient referrals across our network of clinics. This role plays a key part in ensuring patients are connected with the appropriate specialists while maintaining compliance with payer requirements and internal referral processes.Job Responsibilities
- Review referral orders to ensure accuracy medical necessity and valid insurance coverage
- Verify PCP assignment network participation and payer requirements prior to referral submission
- Submit referrals to appropriate specialists facilities or ancillary services
- Track referrals from submission through completion and confirmation
- Conduct patient outreach for scheduling assistance or missing referral information
- Identify incorrect insurance information and return to clinics with correction instructions
- Document all referral activity and updates within the patient chart and EMR system
- Process incoming telephone encounters (TEs) documents and faxes related to referral updates
- Ensure referrals meet turnaround time standards and payer compliance requirements
- Collaborate with clinic staff providers and specialty offices to resolve referral discrepancies
Job Qualifications
- High School Diploma or GED required
- Minimum 12 years of experience in a healthcare administrative referral coordination or medical office role
- Experience with electronic health records (EHR) preferably eClinicalWorks (eCW)
- Understanding of insurance verification referral authorization processes and payer requirements
- Strong organizational skills with the ability to manage multiple referrals and follow-ups simultaneously
- Excellent communication skills for patient outreach and coordination with specialty offices
- Detail-oriented with the ability to work efficiently in a fast-paced healthcare environment
Why Join Our Team
- Substantial growth opportunities
- Leadership and mentoring
- Resources to further career
- Fun work environment (lunches events holiday parties)
- Benefits (medical/vison/dental/401k/paid holidays)
- Supportive and positive work environment
Required Experience:
IC
About Company
Experience quality, personalized healthcare in Arizona with same-day appointments, family care, and comprehensive services at Optima Medical.
