- Patient and pleasant personality. Works well with all types of people
- Strong written and verbal communication skills
- Team Player; interfaces well with staff, patients and providers
- Maintains professional demeanor
- Dependable
- Strong critical thinking skills and problem solver
- Organized
- Coordinates and processes all incoming Dermatology referrals
- Develop and maintain tracking system to support timelines
- Data entry of referrals and/or insurance authorizations in NextGen
- Ensure that all staff have up to date status on referrals and/or authorizations
- Coordinate with Medical Assistant and Surgery Scheduler for emergent MOHS procedures; verifying correct demographics and billing information with referring office, loading information in medical software program (NextGen)
- Verify if authorizations are needed for all Dermabrasions and In-Office procedures; communicate appropriately with staff.
- Troubleshoots for external sources to expedite referral authorization
- Troubleshoots and researches claim denials as needed for retro-referral or authorization requests
- Responds to all phone calls from patients, physician offices and insurance plans on dermatology referrals
- Ensures all referrals are coded with appropriate ICD9 and CPT codes, and monitors for timeliness
- Books patient appointments for clinic consults with Dr. Lee.
- Back-up referral coordinator
- Other duties as assigned by the Administrator
- Previous work experience in a medical setting
- Experience with CPT and ICD10 coding, preferred
- Ability to work effectively in a team environment and independently
- Excellent communication and interpersonal skills
- Ability to organize, prioritize and work efficiently
- Working knowledge of an electronic medical record
- Knowledge of CPT and ICD10 coding
- Ability to grasp new concepts and skills
- Honesty and integrity
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Dermatology Referral Coordinator - Bellevue, United States - Proliance Surgeons, Inc.
Description
Job Description
Job DescriptionProliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State.
At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work. We draw on the differences in who we are, what we've experienced, and how we think to create Exceptional Outcomes, Personally Delivered.
We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more Check out our main career site for more details at
Be Part of Who We Are
The Dermatology Referral Coordinator will handle incoming referrals from Dermatology physicians/offices; ensure referral (or authorization) on file with insurance carrier (if applicable) and updating information within medical software system. Maintain referral documentation. The role will also include scheduling clinic appointments and working with Dermatology offices to coordinate care and transfer demographic/insurance information. Will also serve as a back-up referral coordinator.
Essential Qualities
The essential qualities include but are not limited to:
Duties and Responsibilities
Job Qualifications
Education / Certification/ Experience
Skills/Knowledge/Abilities
Work Environment/Physical Demands
The work environment/physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.
This description is intended to encompass essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person. Other functions may be assigned, and leadership retains the right to add or change the duties at any time.
