Referrals Coordinator

Duties & Responsibilities

• Responsible for order entry into the computer system.
• Captures and schedules referrals according to policy.
• Ensures necessary medical records are forwarded to referral providers.
• Provides support and answers questions about referral policies and procedures for staff and patients.
• Coordinates internal and external referral activities.
• Inputs authorization information into a database, including diagnostic and procedure codes.
• Obtains necessary authorizations as required.
• Refers requests for emergency care and urgent care to appropriate staff members.
• Acts as a resource for staff and patients regarding insurance benefits.
• Contacts patients with test results as needed.
• Orders and directs patients for outside tests.
• Assists the supervisor in maintaining daily workflow as directed.
• Contributes suggestions for improving unit and organizational operations.
• Completes other tasks as assigned.

Job Requirements

• High school diploma or GED.
• Previous experience in a physician’s office, clinic, or hospital processing referrals.
• Medical terminology knowledge.
• Experience scheduling healthcare appointments.
• Experience with office equipment, including computers, calculators, fax machines, and copiers.
• Bilingual in English and Spanish.
• Proficient in Microsoft Office.
• Proficient in using Electronic Clinical Workbench (ECW).
• Experience with different insurance portals.
• Knowledge of Medicaid and Medicare.

Physical Requirements

• Works under usual office conditions.
• Required to work at a personal computer and on the phone for extended periods.
• Able to stand, sit, walk, and occasionally climb.
• Able to work extended and flexible hours and weekends as needed.
• Ability to lift up to 50 lbs.

Travel Requirements

• Amount of expected travel: Some driving/traveling to assigned clinics.

Tools & Equipment

• Computer and peripherals.
• Standard and customized software applications and tools.
• Usual office equipment.