Referral Coordinator - Primary Care Physician

POSITION SUMMARY
The Referral Coordinator manages and coordinates outside specialty appointments requested
by providers to ensure continued continuity of patient care in a timely and professionally manner; maintains positive relationships for collaboration with area hospitals, ancillary departments, specialty physicians, and most importantly patients.

ESSENTIAL JOB FUNCTIONS

1. Manages and coordinates all medical referrals.
2. Communicates directly with patients, building rapport and giving and receiving information.
3. Utilizes the computer system/EHR according to departmental protocols to include accurate
data entry and retrieval of information for reporting purposes.
4. Receives inquiries and requests, and performs research and responds accordingly.
5. Performs data collection and data entry, following through and documenting on
interactions.
6. Processes insurance referrals and maintains detailed documentation on each insurance
authorization.
7. Maintains close communications with key insurance companies, to ensure that referrals
and prior authorizations are completed and followed up per requirements.
8. Solves problems independently or within a team environment.

NON-ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Performs other duties as assigned.

COMPETENCIES
1. Good organizational skills to handle multiple priorities while remaining professional and
Referral Coordinator.

Job Description
1. Good organizational skills to handle multiple priorities while remaining professional and calm.
2. Ability to work with many diverse people.
3. Effective telephone skills.
4. Strong level of confidentiality due to the sensitivity of materials and information handled.
5. Must be able to make suggestions on workflow or system efficiency and effectiveness.
6. Ability to work independently and be self-directed and flexible.
7. Ability to prioritize.
8. Ability to perform functions with minimal supervision.
9. Ability to work at a high volume level of accuracy.

QUALIFICATIONS NEEDED FOR POSITION
The following experience and skills are considered essential:
1. At least two years of medical office experience, including prior referral experience,
required.
2. Ability to work collaboratively with people of diverse backgrounds.
3. Ability to communicate effectively with all internal and external customers in a
professional and courteous manner.
4. Strong organizational skills.
5. Ability to work independently and as part of a team.
6. Ability to function professionally managing multiple priorities.
7. Ability to communicate articulately and comprehend written and verbal communications.
8. Ability to accurately collect, enter and report data.
9.Willingness to learn and take on new challenges, roles and duties.

EDUCATION REQUIREMENTS
The following education requirements are considered essential:
1. High School Education or the equivalent required.
2. Demonstrated knowledge of insurance referral process.
3. Basic understanding of medical terminology