Referral Coordinator - Bilingual

pDescription/ppstrongCOME WATCH US GROW!/strong/ppbr//ppstrongLooking to challenge your skills in the fast-paced continually evolving field of Ophthalmology?/strong/ppbr//ppAt Florida Eye Specialists, a Sight360 company, we believe sight is our most important sense. It is a priceless gift that goes far beyond how you see the world. Sight is how we move through life, enjoy its wonders and form the memories that define us. That is why we are dedicated to care for our patient’s sight every day./ppbr//ppnbsp;nbsp;strongCandidate must be bi-lingual (English/Spanish) and fluent in both languages via verbal and written communication./strong nbsp;/ppRequirements/ppThe Referral Coordinator is responsible for documenting amp; scheduling all internal amp; external referrals as ordered by the doctor; not excluding co-managed patients. Verify patients’ details and information on medical history and insurance. Inform patients of scheduled visits, preparation and arrangements between the practice, facility and/or the provider referred to. Ensuring the referee provider provides follow up letters to referring provider and the loop is closed in the EMR system/ppbr//ppstrongEssential Functions and Responsibilities:/strong/pulliExpediting the administrative requirements for the patient referrals, ensuring that appropriate referrals are made to participating providers with the patients’ health plan, obtaining appointments for Specialist visits, and notifying the patient/member of the appointment./liliMaintain and provide ongoing tracking and appropriate documentation or reports on referrals to promote team awareness and ensure patient safety./liliProcesses all referral requests according to company policies and procedures./liliActs as the primary contact for all co-managed patients, ensuring they’re managed according to company’s policies in a timely manner/liliReceives, prioritizes, and prepares referral authorization supporting documentation for the authorizations department/liliEnsure that referrals are addressed in a timely manner./liliData entry of authorization into Electronic Health Records and/or Utilization Review system, ensuring that all referrals are tracked through to a completed visit and a report is received./liliVerifies member eligibility via insurance carrier as necessary./liliAssemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist./liliReview details and expectations about the referral with patients./liliDevelops and promotes positive effective customer service relations with patients, and staff./liliNotifies patients of authorization status and inquiries in a consistently and professional matter./liliDirecting unresolved issues and request to the appropriate designated resource./liliPerforms other duties as assigned/li/ulpstrongPosition/Type/ Expected Hours of Work:/strong/pulliThis is a full-time position and core hours of work and days are Monday through Friday 8:00 a.m. to 5:00 p.m./liliPotential for evening and weekend hours as required./li/ulpstrongQualifications:/strong/pulliHigh School Diploma or equivalent/liliMinimum 2 years’ experience with healthcare position referrals/liliBi-lingual English/Spanish preferred/liliProficient with Microsoft Outlook, Word, and Excel/liliProficient with IntelleChart Pro amp; Nextech Practice +, preferred/liliExpertise knowledge of medical terminology and Anatomy/liliKnowledge of medical terms, ICD9 and CPT codes./liliBilingual - FLUENT nbsp;nbsp;nbsp;nbsp;nbsp;(English/Spanish) - verbal and written communication/li/ulpstrongSkills and Abilities:/strong/pulliAbility to communicate effectively with physicians and other clinical professional staff/liliStrong people skill, independent decision making and customer service oriented./liliExcellent communication, Customer Service and telephone skills./liliStrong organizational skills and ability to multi-task effectively./liliDetail oriented and able to work efficiently in a stressful environment./liliStrong sense of teamwork./liliAble to respect and maintain patient confidentiality at all times./liliMust be able to work with the Practice Management System./liliMust be able to work independently./liliMust be able to follow policies and procedure./liliAbility to read and interpret medical records./li/ulpstrongBenefits:/strong/pulliMedical, Dental, Vision/lili401k and match/liliPTO (paid time off)/lili8 Paid Holidays/li/ul