Referral Coordinator

Responsible for obtaining authorizations for all assigned OBGYN divisions and locations. Responsible for performing Medical Receptionist job responsibilities as needed.

Authorization Coordinator

• Review schedule and obtain prior-authorizations.

• Review schedule and obtain retro-authorizations.

• Review schedule and obtain authorizations for Global Care Fee's for EVMS Full Care patients.

• Receive and complete assigned tasks from providers.

• Receive and complete assigned tasks from staff.

• Obtain authorizations and referrals from referring physician's offices.

• Complete EHR tasks in accordance with Medical Group Standards.

• Communicate with patients regarding self-pay agreements.

• Communicate with patients regarding co-payments.

• Verify insurance eligibility.

• Scan documents into appropriate charts daily.

• Document authorization approval or denial in EHR.

• Document approved authorization CPT codes with authorization number in EHR.

• Compliance with Policies and Procedures within the Department of Maternal Fetal Medicine,

• OB/GYN, and EVMS Policies and Procedures.

• Performs other duties as assigned, according to the individual departmental needs.

Authorization Coordinator also functions as a Medical Receptionist with the below listed responsibilities:

Medical Receptionist

• Check in and register patients.

• Confirm and update patient registration information at each visit.

• Scan insurance card and picture ID into EMR system at each visit.

• Collect all co-pays and payments and complete cash journals daily.

• Scheduling of incoming referrals in a timely manner.

• Answering telephone in accordance with Medical Group Standards.

• Invite patients to patient portal (Follow My Health) and update status in the EHR.

• Re-invite and assist patients with FMH issues/questions.

• Provide correct labels for charts.

• Compliance with Policies and Procedures within the Department of Maternal Fetal Medicine,

• OB/GYN, and EVMS Policies and Procedures.

• Performs other duties as assigned, according to the individual departmental needs.

Prior experience in a Health care environment, preferably in a physician group practice.

Experience working as a medical receptionist or other relevant role directly handling Medical Insurance information.