Referral Care Coordinator

Job Duties

• Schedule and coordinate specialty medical appointments and services within and outside the clinic as referred by providers.
• Work collaboratively with the clinical team to serve as a liaison between the patient and specialty service providers to ensure quality and timely care.
• Maintain proper documentation in relation to outreach efforts within the database while maintaining confidential electronic health records.
• Accurately complete the referral process through professional oral and written communication skills.
• Review medical records and execute medical directives such as pre-ops, referrals, and scheduling appointments.
• Use databases and spreadsheets to expedite the referral process.
• Schedule and coordinate appointments for OneWorld clinics as well as off-site specialty clinics.
• Partner with other internal departments in the process, as needed.
• Coordinate appointments with off-site clinics, serving as an advocate for the patient and representing OneWorld in a positive and professional manner.
• Collaborate with the medical team to ensure the patient understands the treatment plan and financial resources.
• Document treatment plans and ensure records are received from referring facilities, and fax pertinent notes as needed.
• Follow up and document in the database the results of patient referrals and their outcomes on a weekly basis.
• Report on the progress of referrals on a weekly basis.
• Complete additional requirements such as prior authorizations, facility forms, and insurance denials as needed by facilities to ensure prompt scheduling.
• Stay abreast of available social services within the organization and community.
• Referrals and/or prescreens patients to appropriate services based on guidelines.