Referral Coordinator

About the role

Referral Coordinators play a vital role in the Dental School's revenue cycle management. This position is deadline-driven and requires 100% accuracy and exceptional attention to detail. The Referral Coordinator coordinates and manages dental referrals, serving as a primary point of contact for internal/external referring providers, referred patients, faculty, residents, students, and relevant staff.

Responsibilities

• Ensure referrals are processed accurately, including verification of patient demographics, authorizations, benefits, and patient appointment scheduling to facilitate access to specialty care.
• Serve as the point person for the multidisciplinary evaluation process via internal/external providers, including patient scheduling, third-party communications, and internal communications to ensure details and expectations of the referral are met.
• Maintain accurate records of referrals, including patient demographics, clinical information, and all actions and communication in the patient record/chart.
• Secure patient information and maintain patient confidentiality in compliance with all HIPAA privacy and security rules/laws.
• Manage email and inbound/outbound telephone calls related to referrals, appointments, and patient inquiries; document all communications accurately and maintain professionalism in all interactions.
• Create, track, and monitor appointments for postgraduate clinics; maintain and report data on Postgraduate Created Appointments and Postgraduate New Patients.
• Process documentation for non-consenting patients, including legal guardianship paperwork, and assist with PT 1 forms and transportation coordination as applicable.
• Ensure all required forms and approvals are obtained prior to patient visits.
• Perform other duties and special projects as required or assigned.

Requirements

• High School Diploma or GED.
• 0-1+ years of customer service and/or administrative process management experience in healthcare or a related customer/patient services field.
• Customer service-focused with excellent communication, organizational, and interpersonal skills.
• Working knowledge of Excel.
• Exceptional attention to detail and ability to effectively communicate technical information.

Preferred Qualifications

• 1+ years of dental/medical referral coordination/verification and/or healthcare patient administrative services experience in a fast-paced dental/medical setting.
• Expert knowledge of Medicare, MassHealth, and commercial referral requirements, regulations, and guidelines.
• Familiarity with ADA codes, CPT Codes, and ICD-10 Codes.
• Experience with axiUm software.

Pay

Pay range: Minimum $23.00, Midpoint $27.35, Maximum $31.70. Salary is based on related experience, expertise, and internal equity; generally, new hires can expect pay between the minimum and midpoint of the range.