Registration/Intake Referral Coordinator in Carlsbad, California at The Neurology Center

We are seeking an experienced Intake Coordinator to join our busy multi-location neurology practice. This is not an entry-level position. The ideal candidate will have experience processing incoming referrals, entering patient demographics, verifying insurance information, and ensuring referrals are complete and accurate before scheduling. The successful candidate must have a strong understanding of medical insurance, managed care, referrals, and authorizations, along with exceptional attention to detail and the ability to work in a fast-paced environment.

• Minimum of 1 year of medical intake, referral coordination, or insurance verification experience in a physician practice or specialty clinic.
• HMO and PPO insurance plans
• Medicare and Medicare Advantage
• Medi-Cal
• Commercial insurance plans
• IPA/Medical Groups
• Referral and authorization requirements
• Experience reviewing and processing medical referrals.
• Ability to verify CPT and diagnosis codes for completeness.
• Excellent data entry and computer skills.
• Strong attention to detail and organizational skills.
• Excellent communication and customer service skills.
• Ability to manage a high-volume workload while meeting productivity expectations.

Responsibilities:

• Receive and process incoming referrals from physician offices, hospitals, and other healthcare providers.
• Enter patient demographics accurately into the electronic medical record (EMR).
• Review referrals for completeness and accuracy.
• Verify insurance eligibility and benefits.
• Understand HMO, PPO, Medicare, Medicare Advantage, Medi-Cal, commercial insurance plans, and IPA/medical group requirements.
• Verify PCP assignments, medical groups, and referral requirements.
• Review referrals to ensure appropriate CPT and diagnosis codes are included.
• Identify missing or incorrect information and communicate with referring providers to obtain necessary documentation.
• Confirm that authorizations and referrals meet payer requirements.
• Document referral information accurately in the EMR.
• Reach out to patient to schedule the appointment.
• Maintain productivity while ensuring a high level of accuracy.

Medical, dental, and vision benefits. Paid Birthday off after completion of 90 days paid holidays.