Referral Coordinator

About Company:

Pulse Primary Care promises to engage every individual patient with a thorough history and physical examination to evaluate their physical, mental, and social well-being.

Every new patient to our practice will be evaluated by one of our board-certified providers who will perform a detailed history and physical that includes all past medical histories, past surgical histories, past and current medications, social history of smoking, drinking, drug use, family history, employment history, and any relationships that are affecting the well-being of that individual.

The provider will discuss with our board-certified doctors all diagnoses of current and chronic illnesses as well as all preventive interventions required for that individual. A treatment plan will be submitted and discussed with each individual patient to fit their unique need.

About the Role:

The Referral Coordinator plays a critical role in facilitating seamless patient care by managing and coordinating referrals within the healthcare system. This position ensures that patients are connected to the appropriate specialists, services, or facilities in a timely and efficient manner, thereby enhancing the overall patient experience and continuity of care. The Referral Coordinator acts as a liaison between healthcare providers, patients, and external organizations to verify insurance coverage, schedule appointments, and track referral outcomes. By maintaining accurate records and following up on pending referrals, this role supports clinical teams in delivering coordinated and comprehensive care. Ultimately, the Referral Coordinator contributes to improved healthcare delivery by streamlining communication and administrative processes related to patient referrals.

Responsibilities:

• Manage and process incoming referral requests from healthcare providers, ensuring completeness and accuracy of information.
• Verify patient insurance eligibility and benefits related to referrals to facilitate authorization and approval processes.
• Schedule patient appointments with specialists or external providers, coordinating logistics and confirming details with all parties involved.
• Maintain detailed records of referral activities, track referral status, and follow up to ensure timely completion and feedback.
• Communicate effectively with patients, providers, and insurance companies to resolve issues and provide updates on referral progress.
• Collaborate with clinical and administrative teams to improve referral workflows and address any barriers to patient access.
• Ensure compliance with healthcare regulations, privacy laws, and organizational policies in all referral-related activities.

Minimum Qualifications:

• High school diploma or equivalent required; Associate’s degree or higher in healthcare administration or related field preferred.
• Minimum of 1-2 years experience in a healthcare setting, preferably in patient scheduling, referral coordination, or medical office administration.
• Familiarity with medical terminology, healthcare insurance processes, and electronic health record (EHR) systems.
• Strong organizational skills with the ability to manage multiple tasks and prioritize effectively.
• Excellent communication skills, both verbal and written, to interact professionally with patients and healthcare providers.

Preferred Qualifications:

• Experience working with referral management software or healthcare information systems.
• Knowledge of HIPAA regulations and patient privacy standards.
• Background in customer service or patient advocacy within a healthcare environment.
• Certification in medical office administration or healthcare coordination (e.g., Certified Medical Administrative Assistant).
• Ability to analyze referral data and generate reports to support quality improvement initiatives.

Skills:

The Referral Coordinator utilizes strong organizational and communication skills daily to manage complex referral workflows and ensure accurate information exchange between patients, providers, and insurance entities. Proficiency with electronic health records and referral management software enables efficient scheduling and tracking of patient appointments. Knowledge of medical terminology and insurance processes is essential for verifying coverage and facilitating authorizations. Problem-solving skills are applied to resolve scheduling conflicts, insurance denials, or patient concerns promptly. Additionally, attention to detail and adherence to privacy regulations ensure that all referral activities comply with healthcare standards and protect patient information.

Salary : $22 - $26