Referral Coordinator

Hours: Full-Time/40 hours

Shift Details: Days; 1st Shift

The Smarter Choice for your Career!

Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.

Position Summary:

The Referral Coordinator is responsible for but not limited to:

• Efficiently manages rehab insurance eligibility

• Initiates correct documentation and processing for each chart with accurately and conscious regard for HIPAA Rules and insurance and organization requirements.

• Updates patient insurance and other information in a timely manner to help prevent gaps in coverage.

• Answers incoming telephone calls, offers assistance to callers and properly routes calls to others. Takes messages, referrals and other information as appropriate.

• Assists patients and clinicians with understanding benefits.

• Reviews patient records with detail to determine compliance, and initiates communication with clinicians and others regarding compliance.

• Calls insurance companies to obtain authorization for patient visits, follows up when authorization expires and tracks work to ensure that no authorizations are forgotten.

• Works effectively with other front office staff to cover the desk.

• Works with Registration to correct account errors and registration problems. Efficiently addresses daily worklists.

• Enter insurance authorizations, ICD.10 codes and onset dates into the system with 90% accuracy.

• Assists with other duties such as cleaning rooms stocking linens, removing soiled laundry bags, and supply ordering.

• Maintains and organizes work areas in a highly efficient manner

• Actively participates in Quality Improvement program by gathering statistics, performing billing audits and other Joint Commission compliance activities, such as Medicare ADR's, addressing write offs, and billing edits.

• Adheres to all Core Values (Compassion, Pursue Excellence, Cooperation and Collaboration, Upholds Honesty, and Supports Innovation).

• Adheres to all Absolutes (Privacy and Confidentiality, Professional Appearance, and Responsibility and Commitment).
  

Minimum Qualifications:

• High School Diploma, or equivalent
  

Preferred Qualifications:

• Knowledge of electronic medical records

• Experience working in healthcare

• Experience working as a secretary or in a customer service field

• Experience with medical terminology

• Comfortable working with computers

• Experience with healthcare insurance
  

On-Site: Middletown, CT

Comprehensive Benefits Offered:

• Competitive and affordable health benefits (total rewards package)

• 403(b) retirement plan with company matching

• Paid holidays, time off and sick time

• Wellness rewards program

• Quick commute access from I-84, Route 9 and surrounding areas

• Free parking with shuttle drop-off service

• …and much more!