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Medical Referral Coordinator

Sacramento | non-clinical-pediatrix.icims.com |
Overview:

Perinatal Associates of Sacramento

Monday-Friday 8-5!

No weekends!

Responsibilities:

The Patient Service Associate is responsible to ensure smooth clinic, patient and billing flow by greeting and directing patients to their various appointments, preparing the daily clinic schedule and updating the physicians’ schedules, maintaining patient files and records, interfacing with the different corporate departments and by receiving and directly patient questions to appropriate people.
Works as a team member to facilitate patient care and optimize the revenue.

 •  Responsible for incoming EFAX referrals.
 •  Write up, log, track, and prepare referrals for provider to triage.
 •  High volume monthly referrals (Average 600 new patient referrals)
 •  Handle high volume incoming calls.
 •  Review the charts and insurance referrals/authorizations and taking appropriate action to assure proper maximal reimbursement.
 •  To assist the physicians and/or administrators in all business and patient care responsibilities.
 •  Coordinates office communication flow.
 •  Communicates effectively and courteously with and demonstrates a caring attitude toward patients and their families.
 •  Greet, direct and assist large numbers of visitors and refers visitors to various areas.
 •  Ensure all patient demographic and insurance information.
 •  Answer telephones using correct telephone etiquette at all times, recording legible and complete messages, handling questions, transferring incoming calls appropriately, contacting physicians, insurance companies, hospitals, diagnostic facilities, billing departments, etc… as necessary.
 •  Review patient intake information to verify insurance coverage.
 •  Verify patient insurance information, call for insurance authorization, patient address, telephone, etc.
 •  Responsible for scheduling new and follow up appointments including patient testing.
 •  Acts in a non-directive, non-judgmental manner, recognizing an individual’s religious, ethical and moral opinions and beliefs.
 •  Brings new ideas, positive attitude and lots of energy.
 •  Responsible for maintaining and recording patient schedule.
 •  Identify and collect co-pays, deductibles and other payments.
 •  Reconcile patient payments on a daily basis received to cash box and receipt journal.
 •  Prepare billing sheets.
 •  Review all billings sheets to ensure they contain necessary information needed to create a claim such as physician name and number, patient name and number, insurance code, referring physician and code, etc
 •  Direct billing inquiries to appropriate Regional Office.
 •  Ensure the clinical staff submits all outpatient billing sheets daily.
 •  Maintains patient confidentiality.

Qualifications:

 •  High School diploma or equivalent required.
 •  Three years recent experience in a related position in a medical office experience preferred.
 •  Ability to prioritize jobs duties and meet deadlines.
 •  Ability to effectively work on many tasks at one time.
 •  Have superior customer service and verbal and written communication skills.
 •  Strong computer knowledge; experience preferred.
 •  Knowledge of common safety hazards and precautions to establish a safe work environment.
 •  Knowledge of medical terminology, obstetrical and/or perinatal coding, office billing forms, insurance and government payer regulations and other third party billing requirements preferred.
 •  Must be able to work cooperatively in a team environment.
 •  Ability to handle stressful situations.
 •  Excellent organizational, time management, and attention to detail capabilities.
 •  Must be able to travel to satellite office during the week. Mileage is reimbursable.

Benefits and Compensation:

Benefits for Full Time employees and qualified dependents:

 •  Medical, Dental, Vision Insurance
 •  Progyny Fertility Benefits
 •  Teladoc Health and Second Opinion Services
 •  401(K) Thrift Program & Sharing Plan**
 •  Employee Stock Purchase Plan (ESPP) – 15% discount*
 •  Basic Employee; Spouse; Child Life Insurance
 •  Accidental Death and Dismemberment (AD&D)
 •  Employee Optional Life and AD&D
 •  Short & Long Term Disability
 •  Pre-Tax Health Savings Accounts (HSA)
 •  Employee and Dependent Flexible Spending Account (FSA)
 •  Family Medical Leave Act (FMLA)
 •  Parental Leave Benefit
 •  Sick Pay Bank
 •  Employee Assistance Program (EAP)
 •  Group Aflac Policies
 •  Identity Theft Protection
 •  Employee Charitable Fund
 •  Care.com
 •  Continuing Education Assistance
 •  Various Discount Programs
 •  Part Time Regular employee classifications also receive this benefit
**Available to part-time regular and part-time casual employees aged 21 and over

The expected pay for the position ranges from $17.31 - $30.05 per hour. The actual pay range will be computed based on years of relevant experience.

About Us:

Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group.
Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.

Pediatrix is an Equal Opportunity Employer:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.