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This individual is responsible for expediting the administrative requirements for the patient referrals in the clinic, ensuring that appropriate referrals are made to participating providers; with the patients health plan. The Referral Coordinator acts as a resource regarding referrals and insurance plans guidelines. This is an intermediate level, staff position working in a clinic with multiple providers and support staff. Work situations require an ability to interpret medical guidelines, benefits, policies and procedures, in support of their objective to expedite the referral process.
Two years experience working in a medical setting or insurance company
Experience in managed care desired
Experience with CPT and ICD coding, preferred
High school graduate or equivalent preferred
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