Referral Coordinator

Description

Ready to join a GROWING company that is offering an exciting challenge to become part of our new Referral Team?

We're looking for a detail-oriented Referral Coordinator that has worked in the Ophthalmic industry supporting healthcare professionals with the referral process. We care fully for our patients and want to make sure that their transition between our providers and external providers is smooth and seamless.

At Sight360, 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.

We’ve assembled the most capable and credentialed multidisciplinary teams across every specialty of vision health – ophthalmology, optometry and optical retail services – to deliver a complete, 360-degree approach to vision care. One seamless patient experience. While we do share a single medical record that allows us to collaborate and coordinate care across all locations and providers, more importantly, we share a common belief and set of principles that guide us as we care for our patients.

That’s the Sight360 difference!

Ophthalmologic Assistants/Technicians & Scribes strongly encouraged to apply!

This is an ONSITE position

Requirements

The Referral Coordinator is responsible for documenting & scheduling all internal & external referrals as ordered by the doctor; not excluding co-managed patients. This includes patients for Optometrists, Ophthalmologists, & Ophthalmologist Specialist (Retina, Glaucoma, Cornea, and more) 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

Essential Functions and Responsibilities:

• Expediting 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.
• Maintain and provide ongoing tracking and appropriate documentation or reports on referrals to promote team awareness and ensure patient safety.
• Processes all referral requests according to company policies and procedures.
• Acts as the primary contact for all co-managed patients, ensuring they’re managed according to company’s policies in a timely manner
• Receives, prioritizes, and prepares referral authorization supporting documentation for the authorizations department
• Ensure that referrals are addressed in a timely manner.
• Data 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.
• Verifies member eligibility via insurance carrier as necessary.
• Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
• Review details and expectations about the referral with patients.
• Develops and promotes positive effective customer service relations with patients, and staff.
• Notifies patients of authorization status and inquiries in a consistently and professional matter.
• Directing unresolved issues and request to the appropriate designated resource.
• Performs other duties as assigned

Qualifications:

Compensation is commensurate with experience

• High School Diploma or equivalent
• Minimum 1-2 years of experience in Ophthalmology/ Optometry field; referrals experience preferred
• Bi-lingual English/Spanish preferred; must be able to read, write and speak English.
• Strong Patient Service Skills
• Ability to communicate effectively with physicians and other clinical professional staff
• Proficient with Microsoft Outlook, Word, and Excel
• Proficient with EMR & Practice management tools; IntelleChart Pro & Nextech Practice +, preferred
• Strong people skill, independent decision making and customer service oriented.
• Expertise knowledge of medical terminology and Anatomy
• Knowledge of medical terms, ICD9 and CPT codes.

Position/Type/ Expected Hours of Work:

• This is a ONSIT