Referral Coordinator

Responsibilities

• Preregister/schedule/coordinate/triage all referrals created by and sent to the practice via Lifechart workques.
• Sets follow-up alarms per practice protocols and the tracking function to ensure that all outstanding referrals are followed-up on.
• Maintain/update pre and post registration workqueues.
• Obtains all un-resulted consults and testing orders managed by the referral office.
• Alerts the ordering provider of any patient that does not keep an appointment with a specialist or testing facility.
• Receives and reviews all incoming referrals ensuring completeness and accuracy.
• Ensures all information is received including patient demographics, insurance, and authorizations. Communicates promptly with referring provider and/or patient regarding insurance coverage issues (e.g. non-participation status) so the patient may seek timely services elsewhere.
• Maintains current knowledge of insurer referral authorization requirements and has a working understanding of the patient population and demonstrates cultural awareness and sensitivity.
• Documents any communication with referring providers, patients, and/or Clinic (MD, RN, etc.) in the EHR. Collaborates with social work, Patient Financial Advocate, and Patient Navigator for Financial Assistance and eligibility.
• Participates in practice performance and quality improvement activities.
• Consistently monitors clinic schedules to ensure maximized scheduling and fills any available/open timeslot including those appointments cancelled and/or rescheduled.
• Notifies Provider and/or Supervisor if unable to schedule referral or if there are access issues. Monitors Referral Work-Queues and ensures that all referrals have been processed accordingly.
• Knowledge of front office operations in addition to clinical knowledge for triaging referrals and determining when the patient needs to be seen.
• Attends required meetings and trainings as directed.
• Performs other related duties as assigned.

Minimum Qualifications

• A high school degree or the equivalent.
• Billing and medical knowledge preferred.

Experience

• Two years of clinical referral experience preferred.
• Data entry skills and computer experience required.
• Strong customer service focus.
• Effective verbal and written communication skills.
• Organized and able to manage competing priorities.
• Able to take and follow through with delegated tasks and accountability. Demonstrated knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.