Referral Coordinator

Job Summary: The referral coordinator is responsible for referral operations within the physician clinics, establishing and standardizing systems and procedures for the distribution and use of health information throughout the organization, coordinating and referral functions with all other departments.

Job Responsibilities:

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
• Ensure complete and accurate registration, including patient demographic and current insurance information
• Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist
• Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians
• Review details and expectations about the referral with patients
• Ensure that referrals are addressed in a timely manner
• Remind patients of scheduled appointments via mail or phone
• Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers
• Abide by HIPPA and Hospital policies & procedures
• Assists with Prior Authorizations as needed
• Performs other duties as assigned
   

Job Requirements:

Education: HS Graduate/Equivalent

Age: 18

• Strong customer service focus
• Effective verbal and written communication skills
• Able to work as part of a team
• Strong organizational and time management skills
• Able to prioritize effectively
• Good judgement, resourcefulness, and problem solving abilities
• Able to take initiative and follow thorugh with delegated tasks
• Able to act with integrity, professionalism, and confidentiality
• Previous medical office and referral experience preferred