Job Summary: We are currently seeking a highly organized and patient-focused Referral Coordinator to join our dynamic healthcare team. The Referral Coordinator will be responsible for managing and processing patient referrals, ensuring that patients receive timely and efficient access to specialty services as directed by primary care physicians. The ideal candidate will be adept at coordinating complex schedules, maintaining detailed patient records, and facilitating clear communication between patients, primary care providers, and specialists.

Key Responsibilities:

• Serve as the primary contact for all referral-related inquiries and processes.
• Schedule appointments and communicate necessary preparation instructions to patients.
• Verify insurance coverage and obtain pre-authorizations if required for specialist services.
• Collaborate with physicians, medical staff, and external offices to ensure that referrals are processed in a timely manner.
• Maintain accurate and up-to-date patient records, including referral details, insurance information, and specialist feedback.
• Follow-up on referred patients and document the outcome of specialist consultations and treatments.
• Act as a liaison between patients, primary care doctors, specialists, and healthcare organizations to ensure continuity of care.
• Address patient concerns and questions regarding referral processes and specialist appointments.
• Utilize electronic medical records (EMR) systems to track referrals and outcomes.
• Generate reports detailing referral metrics for management review.
• Assist with the development and implementation of referral policies and protocols to streamline workflows and improve patient satisfaction.
• Keep abreast of insurance company guidelines and healthcare best practices related to referrals.

Requirements:

• High school diploma or equivalent; associate’s or bachelor’s degree in healthcare administration or related field preferred.
• Minimum of 1 year of experience in a medical office setting, preferably in a referral coordinator or similar role.
• Knowledge of medical terminology and healthcare systems, including understanding of insurance coverage and billing processes.
• Excellent organizational skills and the ability to manage multiple tasks and priorities.
• Strong communication skills, both verbal and written, with an emphasis on clear and compassionate patient communication.
• Proficiency in using EMR systems and other computer applications related to healthcare administration.
• Ability to maintain confidentiality of sensitive patient information in accordance with HIPAA regulations.

Preferred Skills/Qualifications:

• Bilingual abilities are highly desirable.
• Experience with referral software or patient management systems.
• Understanding of referral process optimizations and quality improvement initiatives.

Working Conditions:

• Primary work within an office environment inside a healthcare facility.
• Full-time position with potential for occasional overtime to handle patient needs.
• Regular interaction with individuals in a healthcare setting, including patients with various medical conditions.

Benefits:

• Competitive salary commensurate with experience.
• Health, dental, and vision insurance plans.
• Retirement savings plan options.
• Paid time off and holidays.
• Opportunities for professional growth and development.

Job Type: Full-time

Pay: $19.38 - $23.33 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

License/Certification:

• Certified Medical Assistant (Preferred)

Work Location: In person