Referral Specialist jobs in Miami, FL

Summary

The Referral Coordinator is responsible for the effective management of all incoming specialist referrals.

Duties and Responsibilities

1. Responsible for coordinating and processing of all patient referrals for specialty services.

2. Utilizes a high degree of accuracy in obtaining and verifying that all registration data, demographic and insurance information is correct and up to date.

3. Acts as liaison between Community Medical Group and other healthcare providers while exhibiting and utilizing a high level of customer services skills.

4. Performs eligibility checks on members as necessary by telephone or electronically as appropriate.

5. Follows procedures for proper authorization and processing of all referral services including obtaining approval from our medical director.

6. Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different clinics.

7. Sets up appointments and transportation as necessary.

8. Contacts the patient on a timely basis for all scheduling requirements.

9. Communicates with patients to ensure follow-through with referrals.

10. Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.

11. Coordinates pre-admission testing requirements with clinic personnel and patients.

12. Completes all administrative functions related with referral activities in an efficient manner.

13. Enters all referral, hospital, outpatient and other patient specialty health service authorizations into the computer system following CMG policies and procedures.

14. Responsible for monitoring all referral reports not received and follow-up in a timely manner.

15. Performs duties in honest and ethical manner.

16. Perform other duties as assigned.

Summary

The medical records technician is responsible for the overall coordination and supervision of the patients’ medical records and the incorporation of clinical documents into those records.

Duties and Responsibilities

1. Processes and maintains medical records of clinic patients in a manner consistent with medical, administrative, ethical, legal and regulatory requirements.

2. Maintains medical records using Electronic Health Records (EHR)

3. Breaks down discharged patients’ records to upload them properly into EHR.

4. Properly uploads past medical records.

5. Logs in and out physician orders.

6. Processes and scans patient documents into the EHR

7. Maintains documents in locked cabinets/room to assure confidentiality of patient information.

8. Monitors check in and check out of patient charts by corresponding professional staff.

9. Stamp all subpoenas and other attorney requests with the received dated and email them to Corporate office.

10. Ensures that all HIPAA standards are in compliance.

11. Performs duties in honest and ethical manner.

12. Performs other duties as assigned.

Job Type: Full-time

Pay: $19.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Experience:

• Referrals: 1 year (Preferred)
• Medical records: 1 year (Required)

Language:

• Fluent English (Required)
• Fluent Spanish (Required)

Ability to Relocate:

• Miami, FL 33125: Relocate before starting work (Required)

Work Location: In person