Referral Coordinator (31421)

Responsibilities

• Receive and review referral requests from primary care physicians and other healthcare providers via fax and referral software management systems (ie: Leading Reach)
• Verify insurance and eligibility information for referred patients.
• Ensure that all referral documentation is complete and accurate.
• Coordinate and schedule appointments for referred patients with our specialist providers.
• Communicate appointment details and instructions to patients, including any necessary preparations.
• Act as the primary point of contact for referred patients, addressing their inquiries and concerns promptly and professionally.
• Educate patients on the referral process and assist with any required paperwork.
• Maintain accurate and organized electronic records of referrals, authorizations, and patient interactions.
• Maintain communication with referring providers regarding status of referrals.
• Prepare and submit necessary reports to clinic management.
• Ensure that all referral processes adhere to clinic policies and regulatory guidelines.
• Continuously assess and improve referral coordination procedures for maximum efficiency and patient satisfaction.
• Light data entry and other related office duties.

Qualifications

• Education: High School diploma or GED.
• Experience: Minimum of two (2) years of pre-certification experience required. Additional qualifications for Level I Status Entry level (1-4 years’ experience) and/or meet the basic requirements of the job with the need for additional supervision.
• Additional Qualifications: Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.
• Performance Requirements: Excellent communication skills, both written and verbal. Proficient technical (computer) skills. Ability to multi-task and prioritize. Self-motivated with initiative. Strong sense of ethics.