Job Summary
Virtual Care Referral Coordinators are responsible for the coordination of various referral orders, including internal and external referrals for specialty and imaging services. The team manages appointment scheduling, insurance verification, medical record requests, and communication updates to both providers and members.
Responsibilities
- Assist members via telephone and messaging as part of a virtual primary care team to ensure specialist referrals, imaging orders, and prior authorizations are properly routed to external providers.
- Coordinate the transfer of medical records, imaging, and procedural results to ensure availability for external provider appointments.
- Assist in the management of electronic medical records and handle records requests.
- Support providers in completing essential patient documentation, such as medical opinion forms and disability paperwork.
- Work collaboratively with cross-functional staff, including clinical providers, care team members, and compliance officers.
- Manage a fast-paced environment while balancing competing priorities.
Qualifications
- Experience working in a physician's office or medical institution with exposure to managed care and primary care practices.
- Proficiency with Google Suite or equivalent office software.
- Strong organizational skills with the ability to maintain meticulous documentation of actions taken.
- Proven ability to manage time effectively and meet established deadlines.
- Demonstrated capability to utilize resources independently to resolve questions and multi-task effectively.