Per Diem Referral Coordinator
New
L
Ladder HealthHealthcare
Remote (U.S.-based)Part-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- English, Spanish
- Experience
- 2+ years
Requirements
- 2+ years of experience in a medical front office, referral coordination, billing, or prior authorization role (required)
- Strong familiarity with pediatric outpatient services, especially PT/OT/SLP (preferred)
- Highly organized and detail-oriented, with excellent written and verbal communication skills
- Outstanding customer service and communication skills
- Bilingual (English/Spanish)
- Able to work independently and proactively in a remote, fast-paced environment
- Passionate about improving access to care for children and families
- High school diploma or equivalent
Responsibilities
- Enter patient referrals accurately and efficiently into the electronic referral portal in accordance with established workflows and timelines.
- Review referral documentation for completeness and follow up with clinical staff to obtain missing information as needed.
- Maintain organized records of all referral activity and update patient records accordingly.
- Contact patients by phone or secure messaging to communicate referral status, appointment scheduling information, or follow-up instructions.
- Document all patient interactions in the electronic health record (EHR) in a timely and accurate manner.
- Verify insurance eligibility and benefits using clearinghouse and payer portals (e.g., TriZetto).
- Identify when prior authorization is required based on payer guidelines and CPT codes.
- Prepare and submit prior authorization requests to payers using online portals, fax, or other payer-specific workflows.
- Track authorizations, follow up on pending or denied requests, and document updates in the patient record systems (EMR and/or Azalea).
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