Referral Coordinator (Beacon Hill)

Company: Aerotek
Location: Seattle
Posted on: February 22, 2021

Job Description:

Job Description:We are seeking a Referral Coordinator to provide the administrative functions needed to support a smooth, efficient referral process.In this position you will:Assist the utilization review and case management nurse with management of referrals an monitoring or institutional patients.Day-to-Day Responsibilities:Receiving and processing referral requests as the insurance companyWorking on approvals and denials for the referrals within the TRICARE policyIf something is out of network, working with the medical director/UM nurses to establish if there is something in network that can be approved or if they can make an exception for the out of network requestRequired qualifications for this position include:Degree as LPN or health data services coder preferred. Two years' experience in medical related field.2+ Years' experience in UR, health plan, or managed care environment.Ability to frequently shift thinking and work processes between various lines of business, insurance plans, medical group practices and computer systems.Knowledge of ICD9-CPT and DRG codes.Medical terminology knowledge.Excellent customer service skills Familiarity with computers.Strong understanding of referrals and insurancesWillingness to train and learn their processesStrong customer service skills - communicating with medical director, UM nurses and patients!Strong attention to detailHigh school diploma or equivalent; high school level command of spelling, grammar, basic composition, math and/or basic vocational completion of equivalent technical training.Skills:Medical, Health care, Prior authorization, Medical billing, Coding, Claim, Insurance, Medical claim, Insurance verification, Medical record, Utilization review, Medical coding, Epic, Cpc, Cpt coding, Icd9Top Skills Details:Referrals Coordinator Prior Authorization CPT/ICD-9 Appeals/Denials EPIC Medical Terminology Customer ServiceExperience Level:Intermediate Level About Aerotek:We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Keywords: Aerotek, Seattle , Referral Coordinator (Beacon Hill), Other , Seattle, Washington