Referral Coordinator

About the role

A growing healthcare provider is seeking a Referral Coordinator to coordinate specialty care for patients in need of external consultation as requested by the primary care physician. The Referral Coordinator researches referral requests in a timely manner and ensures they meet medical necessity with thorough documentation.

Responsibilities

• Processes patient referrals to specialty providers and facilities while adhering to protocol.
• Ensures that referrals are addressed in a timely manner, prioritizing urgent items appropriately.
• Reviews documentation from primary care provider or specialty provider to ensure medical necessity of the referral request.
• Prepares and submits Service Denials on referral requests that do not meet protocol.
• Reviews Service Denial with Director or Supervisor prior to submission to payor as needed.
• Prepares medical records to accompany referral, providing appropriate clinical information to specialist.
• Acts as a resource for patients or providers who have questions or problems relating to referrals.
• Maintains log of all referrals processed; submits log to District Manager or Supervisor monthly.
• Communicates internal and external referral request issues with District Manager or Supervisor in a timely manner.

Requirements

• High school diploma or equivalent
• 1+ year experience in a medical office or healthcare setting
• Familiarity with scheduling systems, insurance verification, and patient registration processes preferred

Skills

• Strong customer service and patient-facing communication skills
• Excellent organizational and multitasking ability
• High attention to detail and accuracy, particularly with data entry and billing
• Ability to work in a fast-paced, high-volume environment
• Professional, reliable, and team-oriented approach

Benefits

• Key role in delivering an excellent patient experience
• Opportunity to grow within healthcare administration

Pay

$16-$19 per hour

Schedule

Full-Time