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Medical Referral Coordinator
3 months ago
At St. Thomas Community Health Center our mission is to provide culturally competent
healthcare of the highest quality, regardless of the patients ability to pay. We foster relevant
research and educational activities directed toward achieving health initiatives that reduce
health disparities in our community. Central to our mission is to acknowledging the role of
institutional racism as causative of these disparities. As such, our work is directed toward
becoming an antiracist institution.
Job Summary
A Referral Coordinator assists providers and patients in identifying and accessing community support resources including referrals for specialty medical services in compliance with insurance requirements. Completing referral entry, follow-up, and provider updates according to timelines established in referral policy. Ensuring appropriate referrals and authorizations are obtained and in the electronic medical record. Answers referral-related calls from patients/outside facilities; takes messages accurately and relays to the provider in a timely manner.
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 patients clinical background and referral needs
- Provide appropriate clinical information to specialist
- Contact review organizations and insurance companies to ensure prior approval requirements are met
- Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
- Review details and expectations about the referral with patients
Required:
- High school diploma or equivalent;
- Strong customer service focus
- Effective verbal and written communication skills
- Proven work experience as a Referral Coordinator or similar role
- At least one year experience in a medical field
- Experience working with EPIC
- Medical
- Dental
- Vision
- Life Insurance
- Accidental Death & Dismemberment
- Short-Term Disability
- Long-Term Disability
- PTO
- 401K
- Paid Holidays
