Referral Coordinator- J2 T1 - Beverly Massachusetts

Company: E-solutions It Services Private Limited
Location: Beverly, Massachusetts
Posted On: 04/28/2024

Certification is required: BLS CertificateMinimum Years of experience: 2 yearsJob description:*13 weeks but candidates must be willing to go direct after this temp assignment*The Referral Coordinator is responsible for all administrative processing in regard to patients personal and insurance information for a group of dialysis clinics. This individual cooperates and works closely with both internal and remote co-workers, possesses strong time management skills and the ability to complete assigned job duties with applicable supervisory direction, including exercising job appropriate judgement.Essential Functions1.Processes new patient referrals through internal Central Registration System (CRS), ensuring accuracy of patient personal and insurance information.2.Completes insurance benefit verifications via phone or online verification tools to confirm patient benefits, specific to the referred clinic, to determine acceptance to the clinic.3.Works with clinic staff to ensure proper documentation for patient verifications is obtained.4.Works with clinic staff to obtain patient and/or representative signatures on admission documentation as needed.5.Acts as first point of contact for patients benefit or network status questions. Escalates difficult conversations as necessary.6.Ensures completeness and accuracy of patient accounts in billing system, QMS.7.Resolves billing rejections related to patient demographic information, including working with the patient and/or payer for resolution if necessary.8.Educates patients on financial responsibility while travelling internationally and drafts corresponding agreements for signature.9.Initiates requests for authorization as needed based on insurance requirements and clinic network status.10.Completes and maintains region and/or clinic specific reports.11.Ensures compliance with CMS coordination of benefits rules.12.Ensures confidentiality of all data, including patient, employee and operational data.13.Adapts and is flexible when change arises, alternating between tasks as needed.14.Stays current with department changes and updates and willingly learns new skills.15.Handles patient information with discretion and sensitivity and maintains HIPAA compliance.16.Understands and complies with Medicare rules and regulations, as well as applicable federal, state, agency, region and clinic rules and regulations.17.Performs other tasks, duties and projects as assigned.Shift: Days: 9:30 am - 6:00 pm (8 hrs)*INDHC01*Job Types: Full-time, ContractPay: $18.00 - $23.00 per hourWork Location: On the roadby Jobble More...

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