What are the responsibilities and job description for the Medical Referrals Coordinator position at Universal Primary Care?
ESSENTIAL FUNCTIONS:
-
Process and coordinate medical referrals accurately and timely.
-
Review provider referral orders and ensure all necessary clinical information and documentation are included.
-
Obtain insurance authorizations and prior approvals when required.
-
Coordinate with specialty offices, hospitals, diagnostic facilities, and other community healthcare organizations.
-
Assist patients with scheduling specialty appointments and provide necessary referral information and instructions.
-
Verify insurance requirements and identify potential barriers that could delay access to care.
-
Track outstanding referrals and follow up with patients and outside organizations to determine referral status.
-
Obtain consultation reports, test results, and other documentation following completed referrals.
-
Ensure referral information and outside records are properly documented within the Electronic Health Record (EHR).
-
Work to close the referral loop by ensuring ordered services are completed and results are available to the ordering provider.
-
Contact patients regarding incomplete, missed, or outstanding referrals and document follow-up efforts.
-
Communicate referral barriers or urgent concerns to the appropriate clinical team.
-
Maintain accurate referral work queues and assist with identifying referrals requiring additional follow-up.
-
Protect patient confidentiality and comply with HIPAA, organizational policies, and applicable regulatory requirements.
-
Collaborate with providers, nursing staff, medical assistants, patient service representatives, care management, and other departments to support coordinated patient care.
-
Provide professional, compassionate customer service to patients and outside healthcare organizations.
-
Perform other duties as assigned to support patient access and clinic operations.
EDUCATION/EXPERIENCE
- High School Diploma or equivalent required
- Associates degree is preferred
- Must posses excellent professionalism, interpersonal skills, attention to detail, customer service skills, written and oral communication skills, listening skills, and organizational skills
- Experience in a medical office setting and medical office tasks preferred
- Experience with Microsoft Office and eClinicalWorks (EMR) preferred
- Experience with medical referrals preferred
Universal Primary Care is seeking a highly organized and patient-focused Medical Referrals Coordinator to join our team!
The Medical Referrals Coordinator plays an important role in ensuring patients receive timely access to specialty care, diagnostic services, and other services ordered by their healthcare provider. This position coordinates referrals from initiation through completion, communicates with patients, providers, specialists, and insurance companies, and helps ensure the referral loop is successfully closed.
As a Federally Qualified Health Center (FQHC), Universal Primary Care is committed to improving access to high-quality healthcare throughout the communities we serve.
What Makes Someone Successful in This Role?
The ideal candidate is organized, persistent, detail-oriented, and comfortable following a referral from beginning to end. This position requires someone who understands that placing a referral is only the first step—the ultimate goal is making sure the patient receives the care they need and that the results make their way back to the patient's UPC care team.
Join Universal Primary Care and help us improve access to care for the patients and communities we serve.
Salary : $16 - $19