Referral Coordinator

Here at SNAHC, you are joining a team and company at a time of growth and transformation. You will love being surrounded by people who are as passionate as you are about healthcare and giving back to the community.

A reasonable estimate of the current pay range for this role is $22.00/HR–$24.00/HR.

About the role

The Referral Coordinator (REFC) reports to the Referrals Manager and provides clerical and administrative support to the health center for the organization of internal and external referrals. This position supports the daily needs of all Referral Coordination for the medical department in the health center. The REFC ensures that all appointments, required documentation, insurance information, and prior authorizations are established with specialty providers, insurance entities, and patients. The role may require floating to other SNAHC locations.

Responsibilities

• Receives referral requests from providers and communicates with them, or a member of the patient’s care team, as needed.
• Obtains prior authorizations for patient referrals to specialists and surgeries; advises provider if authorization request is denied.
• Communicates with different insurance companies to process referrals appropriately and verifies eligibility of insurance for patients.
• Requests appointments from appropriate specialty providers.
• Verifies eligibility of insurance for patients.
• Communicates with patients and informs them of referral status.
• Requests consult notes once patient has been seen by specialist and closes referrals upon receipt; communicates with specialists regarding referral needs.
• Follows up on referrals with specialty providers and patients.
• Obtains ongoing knowledge, documentation, and updates of appropriate referral resources, required forms, and key contact persons.
• Reviews and assesses medical records for referral processing.
• Tracks and processes referrals using NextGen Diagnostics and Referrals sections in the A/P section of the SOAP note; prioritizes referrals by urgency or PCP request.
• Completes referral data tracking for Quality Assurance programs.
• Complies with all state and federal laws and regulations, including HIPAA, sexual harassment policies, Scope of Practice, and OSHA.
• Performs other duties as assigned.

Skills

• Excellent computer skills, preferably with Windows, including Microsoft Office Suite.
• Excellent telephone and communication skills.
• Strong organizational, writing, and verbal skills.
• Ability to work independently, set priorities, and work well under pressure.
• Ability to maintain a high degree of confidentiality.

Competencies

• Attention to Detail
• Customer Service
• Insurance Verification
• Record Maintenance
• Research