Medical Referral and Prior Authorization Coordinator
Job description
What We Are Looking For
Frontier Direct Care is looking for a Medical Referral Coordinator to empower our members to take control of their healthcare. As a Medical Referral Coordinator at Frontier Direct Care, you'll have the opportunity to craft amazing user experiences to delight Frontier members and give our team members the autonomy to create and excel. We believe that doctors should be freed from the long hours of paperwork to connect with their patients. The same idea goes for the rest of our team, too. With great workspaces and relationships comes a great team. We’re excited about the culture we are building and welcome you to join us as we transform healthcare.
Who We Are
We have embraced the direct primary care model and have created relationships with companies across the Rio Grande Valley of South Texas. Our investors have entrusted us to build a team made of special people like you who are looking to make an impact and do work that matters. Backed by business leaders in Texas and beyond, we're swinging beyond the fences. We are building a household brand and a nationwide organization. We are here to do the best work of our lives, and we hope you are, too. Here more from our team, in their own words here https://frontierdirectcare.com/careers/
Transforming Healthcare
Our culture offers the psychological safety and trust to take risks, make mistakes, and keep learning and growing. At Frontier, we understand how to build products that people love. We care about creating and innovating our services to the benefit of our members. We are committed to finding the best healthcare solutions for the individuals and businesses in our community.
We care deeply about creating relationships with our members — and we hope you do, too! We are committed to transforming healthcare through our core values and would like to ask you if you’re intentionally hospitable, exceptionally thorough, mission minded, have an extra mile attitude and are up for continuous improvement? If you answered yes to each of those qualities, we can assure you that you’ll fit right into our team of changemakers.
Why We Love Working Here
Benefits
- Frontier Direct Care Membership for you and your dependents. Within your membership to primary care, you’ll find low wait times, no insurance hassles, and no hidden costs with transparent pricing for ancillary services. Plus, our extensive Health Access network allows members to choose from a wide variety of contracted rates on labs, imaging, prescriptions, and more
- 100% Medical Cost-Sharing membership for you, with options to add your family through Sedera. Learn more here: https://sedera.com/
- Access to 401(k) and a team of wealth advisors committed to your portfolio
- Unlimited time off plus 9 paid holidays - we work hard and play hard and fully believe in work life balance
- Flexible parental leave
- Corporate sponsored volunteer opportunities to give back to the community in which we live, work and play
- Leadership training and an open door policy with leadership
- Employee Assistance Program
What You Will Be Doing
- A Medical Referral Coordinator is responsible for managing and coordinating the process of referrals from primary care physicians to specialists, diagnostic facilities, and other healthcare providers. The primary role is to ensure that patients receive timely and appropriate medical care.
- Receiving and reviewing referral requests from primary care physicians, assessing their urgency and appropriateness
- Communicating with patients to schedule appointments with specialists and diagnostic facilities
- Coordinating the transfer of medical records and other pertinent information between healthcare providers
- Collaborating with insurance providers to verify coverage and obtain authorization for medical procedures
- Providing administrative support to healthcare providers and patients, including managing phone and email correspondence, and maintaining accurate records
- Monitoring the referral process to ensure timely and appropriate care is provided
- Providing guidance and support to patients to help them navigate the healthcare system
- Participating in quality improvement initiatives to optimize the referral process
- Staying current with changes in healthcare policies and regulations.
What We’re Looking For
- 2 + years of experience in healthcare administration or related field
- Experience facilitating and establishing referral responsibilities to include regular cadence with clinics and communicating (phone calls, emails, fax) with related parties to support the Direct Care team with referrals
- Knowledge of medical terminology, procedures and healthcare regulations and policies
- Experience working with insurance carriers and performing prior insurance authorizations
What Will Make You Stand Out
- Excellent communication and organizational skills, as well as the ability to work effectively with healthcare providers.
- Certified in medical terminology or healthcare administration or coding and billing.
Frontier Direct Care is an equal opportunity employer; we value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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