Referral Coordinator

This job is responsible for working with patients requiring a referral to ensure the patient’s referral needs are fulfilled. Incumbent obtains and processes all referrals, authorizations and pre-certifications for patients requiring ancillary testing and/or surgical procedures to ensure timely reimbursement.

Incumbents are accountable for; 1) processing referral orders and gathering patient insurance eligibility information and obtaining pre-authorizations 2) coordinating patient appointments 3) distributing pre-visit instructional materials to patients, 4) providing cost estimate and benefits information and 5) coordinating the rental and/or purchase of medical materials and equipment. An incumbent is located either behind-the-scenes, interacting with patients on the phone or at the front desk, interacting with patients directly.

• Successful completion of an accredited medical terminology course(s) or equivalent on the job training, and one year of progressively responsible work experience that would demonstrate attainment of the requisite job knowledge/abilities.
• Work experience in patient scheduling/registration, insurance verification, referral coordination, financial counseling or related function is preferred.