Referral Coordinator

Job Summary

The Referral Coordinator works as part of the healthcare team and collaborates with other support staff and clinic healthcare providers. The Referral department coordinates with healthcare providers and patients to facilitate and track the referral process. In addition, the Coordinator initiates referrals with hospitals, specialists, and other organizations when services are authorized and educates patients and providers about insurance plans and their benefits.

Benefits

• Health insurance (medical/dental/vision)
• Up to 120 hours of vacation time pro-rated by FTE every 12 months
• Paid sick leave
• 10-paid holidays
• 403(b) Safe Harbor retirement plan with employer match
• Disability and life insurance
• $0.75/hour for those who test proficiently in a second language

Education

• High school graduate or equivalent
• Preferred: Post high school education in office/clerical coursework
• Graduate of a Medical/Dental Administrative Assistant Certification program or related field

Experience

• Clerical, reception, medical or dental assisting, administrative or secretarial experience in a medical/dental setting or healthcare insurance organization (1 year); or a combination of equivalent education and work experience
• Familiarity with insurance programs, preauthorization and/or referrals
• Preferred: Experience in a multiple provider medical practice
• Healthcare information systems, such as electronic health record and practice management systems experience
• Working with low income, multi-ethnic populations

Skills and Abilities

• Reads, speaks, understands and writes proficiently in English
• Works independently and is self-directed
• Works effectively in a team environment
• Organizes, prioritizes, and coordinates multiple activities and tasks
• Produces work in high quantity and quality
• Solves problems with creativity and ingenuity
• Remains calm and effective in high pressure and emergency situations
• Proficiency in the use of Microsoft Office applications; Word, Excel and Outlook
• Knowledge of medical terminology

Preferred Qualifications

• Bilingual skills
• ICD-10 & CPT Coding
• Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Coding Specialist (CCS) certified by the American Health Information Management Association (AHIMA)

Job Specific Functions/Performance

• Receives and processes all referrals per established protocols
• Captures and maintains accurate records, tracking the status and receipt of notes for completed referrals
• Schedules patients as needed with Specialists, provides necessary paperwork and instructions to patients and specialists prior to appointments
• Maintains, updates, distributes and provides information regarding health plan benefit materials to CHC providers and clinic staff
• Timely review and completion of tasks as assigned
• Protect and preserve the confidentiality of patient’s records and personal information
• Adheres to attendance standards in order to perform the job functions for daily operations and/or continuity of patient care