What are the responsibilities and job description for the Referral Coordinator - Vascular position at Pinehurst Surgical Clinic PA?
Description
JOB SUMMARY
The Referrals Coordinator is responsible for managing incoming patient referrals, registering new patients, scheduling appointments, and serving as a primary point of contact for patients and referring providers. This role ensures timely communication, accurate information, and efficient processing of referrals to support high-quality patient care and clinic operations.
RESPONSIBILITIES
- Promptly answer calls using approved scripting and aid patients.
- Route clinical questions to physicians or clinical staff; communicate urgent requests to a physician or APP to evaluate the urgency of scheduling the appointment. .
- Return all phone calls within one business day; ensure urgent referral calls are addressed immediately.
- Register new patients using the information that is received in the referral, verify demographics and insurance, and process referrals according to department policy.
- Appointments should not be scheduled without complete demographics, prior authorization, if applicable; most recent medical records; including imaging, and recent surgeries related to referral request.
- Detailed documentation in Touchworks if all necessary documentation isn’t received in order to schedule the referral.
- Once an appointment has been scheduled, a letter should be sent to the referring provider, if you have reached the patient. If unable to reach the patient, a letter should be sent to both the patient and the referring provider.
- All incoming referrals should be documented on the appropriate referral spreadsheet.
- Assess insurance requirements, including primary referrals and contracted carriers, prior to scheduling.
- Schedule appointments and provide patients with directions and pre-appointment instructions.
- Perform additional responsibilities as assigned by management.
CHARACTERISTICS
- Professional and courteous with patients, staff, and referring providers.
- Team-oriented and able to communicate effectively with clinical and clerical staff.
- Patient, calm, and composed under pressure.
- Reliable, punctual, and able to manage multiple priorities.
- Maintains confidentiality and adheres to HIPAA regulations.
- Positive attitude, proactive, and committed to excellent customer service.
Requirements
QUALIFICATIONS
- High school diploma or equivalent; associate degree or higher preferred.
- Experience in a medical office, patient registration, or referral coordination preferred. Knowledge of insurance processes, including verification and authorization requirements.
- Familiarity with EMR systems, patient portals, and office communication tools.
- Strong telephone, written, and verbal communication skills.
- Detail-oriented with strong organizational and multi-tasking abilities.
PHYSICAL REQUIREMENTS
- Sitting: Frequently
- Standing: Occasionally
- Walking: Occasionally
- Carrying/Lifting: Rarely (up to 35 pounds)
- Stooping/Kneeling: Rarely
- Other: N/A