Referral Coordinator

Description

Pediatrics in Brevard is looking for a reliable and customer-focused Referral Coordinator to join our team. In this role, you’ll handle referral requests for providers at multiple locations, helping to ensure smooth and timely patient care. The ideal candidate is organized, detail-oriented, and has strong communication and customer service skills. Knowledge of medical terminology and ICD-10 coding is a plus.

Key Responsibilities:

• Manages end-to-end referral processes using the Electronic Health Record (EHR), ensuring timely documentation, patient safety, and coordination with clinical teams.
• Schedules referral appointments, verifies insurance eligibility, and obtains necessary authorizations and medical documentation from referring providers.
• Serves as the primary liaison for patients regarding referral status, providing updates, education on next steps, and support throughout the referral process.
• Coordinates with specialists, ancillary departments, and internal clinical staff to ensure referral requirements—such as pre-testing, documentation, and prep instructions—are met.
• Conducts daily outbound calls for appointment scheduling, monthly procedure recalls and promptly responds to patient inquiries and voicemails.
• Reviews patient history and medications to ensure accurate procedural preparation and communicates necessary changes to patients and providers.
• Maintains an expert level understanding of referral guidelines, insurance plan requirements, and provider networks.
• Accurately processes and routes electronic documents, ensures complete data entry, and upholds strict compliance with HIPAA regulations and confidentiality standards.

This job operates in a clerical, office setting. This role routinely involves standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

What We Offer:Competitive salary based on experience.

• Comprehensive benefits package, including medical, dental, vision, 401k, plus ancillary insurance benefits such as Identity Theft, Legal, Pet Insurance and more.
• Paid Time Off and Holidays
• Opportunities for professional growth and development.
• A supportive and collaborative work environment.

Qualifications

PHYSICAL, VISUAL, HEARING, AND MENTAL DEMANDS

• Sitting / Mobility: Approximately 70% of work is performed while seated at a desk; the remaining 30% involves movement throughout various work areas.
• Communication: Must be able to communicate effectively with coworkers, Board members, and external agency representatives in person, by phone, and via email.
• Vision: Requires sufficient visual acuity to read printed materials, memos, and to effectively use a computer screen for extended periods.
• Lifting / Carrying: Must be able to occasionally lift and/or move items weighing up to 25 pounds.
• Stooping / Kneeling: Requires the ability to stoop, kneel, or crouch to access files or supplies stored in lower cabinets or on bottom shelves.
• Reaching / Handling: Involves frequent reaching and manual dexterity to input data into computer systems and to manage paperwork, equipment, and supplies.

Qualifications and Competencies:

• High school diploma or equivalent required.
• Minimum of two years' experience in medical referrals or related patient support functions within a clinical setting.
• Demonstrates strong attention to detail and maintains a high level of accuracy in all aspects of the role.
• A collaborative team player who shows genuine care and compassion for patients and their individual needs.
• Possesses excellent interpersonal and time management skills, with the ability to consistently meet productivity standards.
• Capable of working effectively with a multidisciplinary healthcare team in a fast-paced, dynamic environment, exercising tact, diplomacy, accountability and professionalism.
• Understands and follows established policies, procedures, and protocols, with the ability to make timely, sound decisions.
• Proficient in operating required systems and technologies relevant to the role.

PIB is an Equal Opportunity Employer and is committed to a policy of equal treatment and opportunity in every aspect of its recruitment and hiring process without regard to age, alienage, caregiver status, childbirth, citizenship status, color, creed, disability, domestic violence victim status, ethnicity, familial status, gender and/or gender identity or expression, marital status, military status, national origin, parental status, partnership status, predisposing genetic characteristics, pregnancy, race, religion, sex, sexual orientation, unemployment status, veteran status, or any other legally protected basis. Women, racial and ethnic minorities, persons of minority sexual orientation or gender identity, individuals with disabilities, and veterans are encouraged to apply for vacant positions at all levels.

Salary : $16 - $18