Referral Coordinator OBGYN
About the role
We are looking for a dynamic and detail-oriented Referral Coordinator to join our OBGYN team in Boise, ID. As a Referral Coordinator, you will serve as a specialist in coordinating all aspects of specialty referrals—both incoming and outgoing—eligibility verification, and maintenance for outpatient clinic patients. You will obtain and maintain accurate client information, verify it with appropriate agencies, and report accurate data and statistics for referrals as needed. This role ensures processes in each work queue are completed accurately and efficiently in compliance with all governing and internal policies.
This full-time position supports a team of 9 surgeons in the OBGYN space. The schedule is Monday through Friday, 8:00 AM to 5:00 PM. The clinic is located at 1072 N Liberty St Ste 100, Boise, ID 83704.
Responsibilities
- Process and approve referrals according to network and practice policies.
- Obtain and verify documentation, eligibility, benefits, and insurance requirements.
- Track and update referrals in the EMR system, ensuring accuracy and timely completion.
- Communicate with providers, patients, and insurance companies to resolve issues and gather missing information.
- Compile and send medical data to specialists; schedule diagnostic tests if needed.
- Ensure compliance with HIPAA and organizational standards.
- Maintain accurate patient records and update charts with specialist consults.
- Educate patients on referral details and expectations.
- Serve as liaison and internal consultant for staff; train new Referral Coordinators.
- Perform additional administrative tasks, including appointment reminders and backup coverage.
Requirements
- High school diploma or equivalent; Associate degree preferred.
- 1 year of healthcare-related referral experience required; 3 years preferred.