Specialty Referral Coordinator

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Job Overview:

The Referral Coordinator plays a critical role in the pharmacy by managing patient referrals and ensuring seamless communication between patients, healthcare providers, and nursing companies. This position requires a detail-oriented individual with a strong understanding of medical terminology and billing practices. The ideal candidate will be skilled in handling medical records, verifying insurance information, and be knowledgeable and/or willing to learn aspects of the infusion services landscape.

Duties:

• Manage incoming referrals from specialists and other healthcare providers.
• Work with corporate intake specialists to verify insurance eligibility/coverage and complete benefits investigations.
• Communicate effectively with patients, healthcare providers, team members, nursing providers, and insurance companies to provide a seamless intake experience, from referral to start of care.
• Maintain up-to-date knowledge of the infusion landscape, including current medications, new to market medications, reimbursement trends, formulary requirements, etc.
• Work closely with marketing team in regards to referral source communications.
• Work closely with prior authorization team in regards to timely insurance approvals.
• Work with drug manufacturing companies to enroll patients into assistance programs.

Qualifications:

• Strong knowledge of medical terminology and billing practices.
• Experience with insurance verification procedures.
• Excellent organization skills and a strong attention to detail.
• Strong and professional communication skills, both verbal and written, for effective interaction with patients and healthcare professionals.
• Ability to work independently, as well as with a team, in a fast-paced environment.
• Prior experience in infusion pharmacy or similar medical office preferred.
• Certification with the Pharmacy Technician Certification Board required within 90 days of hire.

The Referral Coordinator position is essential for ensuring that patients receive timely care while navigating the complexities of the healthcare system. If you are passionate about helping others and possess the necessary skills, we encourage you to apply for this rewarding opportunity.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Work Location: In person