Referral Coordinator

This is a safety sensitive position. The Referral Coordinator is a member of the interdisciplinary medical team of the health center. The employee is responsible for working 

with the providers and the patients to ensure a smooth referral process.

QUALIFICATIONS:

A. High school diploma, sometimes combined with medical assistant certification.

B. Strong customer service focus

C. Effective verbal and written communication skills

D. Teamwork orientation

E. Has good judgement and organizational skills to be able to manage competing priorities.

F. Resourcefulness in problem solving.

G. Able to take and follow through with delegated tasks and accountability.

SALARY GRADE AND CLASSIFICATION: Non-exempt

RESPONSIBLE TO: Auxiliary Lead

Specific Functions:

A. Contact review organizations and insurance companies to ensure prior authorization requirements are met. Present necessary medical documentation such as history, diagnosis, and prognosis information. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.

B. Review details and expectations about the referral with patients.

C. Ensures referrals are addressed in a timely manner and follows up on patient referral inquiries not immediately resolved.

D. Assist patients in problem solving potential issues related to the health care system. These include but are not limited to financial or social barriers such as payment arrangements, interpreter services, prescription and durable medical equipment assistance.

E. Be the system navigator and point of contact for patients and families regarding their referrals thus allowing patients and families direct access for asking questions and raising concerns.

F. Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.

G. Ensure that referrals are addressed in a timely manner.

H. Remind patients of scheduled appointments via mail or phone.

I.  Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.

J.  Has the ability to work remotely at the discretion of the supervisor and in alignment with GSP Health policies.