Client Services Referral Coordinator - San Antonio, United States - Texas MedClinic

Description

The Referral Coordinator's primary role is to communicate effectively and provide superior service on all work referrals. To review all related paperwork to ensure that it is accurate and complete. To schedule and get approvals on all work comp referrals. Schedule all referrals in a timely manner. The WCRC must provide on-going good service to both our internal and external customers. The WCRC is expected to strictly adhere to the established practice and safety standards.


ESSENTIAL JOB FUNCTIONS AND DUTIES:
Calls Designated Employer Representative (DER) and provides referral status information on work related injuries/illnesses for the assigned clinicsProvides DER and patients the following appointment informationRelates any needed information example: needing x-rays, MRI or CT filmsCoordinates ReferralsContacts adjusters to obtain claim number, policy or insurance information and network informationObtains authorization from adjusters, employers or third party schedulersSearches the Network website for list of providers for referralsSchedules referrals for all specialistCommunicates information between specialist, insurance adjuster, patient, doctors and employersObtains and releases medical information according to HIPPA guidelinesWorks on referrals for the assigned clinicsCommunicates effectively with physicians at assigned clinicsCommunicates issues regarding referrals to CSM or DO a timely mannerScans any medical records provided into patient detailKeeps the Business Development and Marketing Department updated of all Insurance or specialist contactsFollows up on all pending referrals dailyCommunicates with both the employer and patient for any delays of the referralNotifies the CSM or DO of any complicated cases needing assistanceDocuments specific notes on patients visit notesDocuments all incoming or outgoing information in visit notesMust be punctual and reliable in attendance


EDUCATION AND TRAINING:
High school diploma or GED requiredGraduation from an accredited vocational training program relevant to the position (Ex: Medical Office Specialist, Medical or Office Administrative Assistant, Associates Degree in Medical Administration) OR minimum of 1 year experience relevant to the position#J-18808-Ljbffr