Medical Referral Coordinator
2 months ago
Island Doctors Referral Coordinator would be based out of our Palm Coast office and require the ability to travel to our surrounding locations.
Position Title Department Reports to
Referral Coordinator Referrals Director of Referrals
Employment Status FLSA Status Effective Date
☐ Temporary ☒ Full-Time ☐ Part-Time ☒ Non-Exempt ☐ Exempt 03/01/2018
***
The Referral Coordinator is responsible for coordinating specialty care for patients in need of external consultation as requested by the primary care physician. Following the Island Doctors protocol, the
Referral Coordinator researches referral requests in a timely manner and ensures it meets medical necessity with thorough documentation.
**ESSENTIAL DUTIES AND RESPONSIBILITIES**
The essential functions include, but are not limited to the following:
- Processes patient referrals to specialty providers and facilities while adhering to Island Doctors protocol.
- Ensures that referrals are addressed in a timely manner, prioritizing urgent items appropriately.
- Reviews documentation from primary care provider or specialty provider to ensure medical necessity of the referral request.
- Prepares and submits Service Denials on referral requests that do not meet Island Doctors protocol.
Reviews Service Denial with Director or Supervisor prior to submission to payor as needed.
- Prepares medical records to accompany referral, providing appropriate clinical information to specialist.
- Acts as a resource for patients or providers who have questions or problems relating to referrals.
- Maintains log of all referrals processed; submits log to District Manager or Supervisor monthly.
- Communicates internal and external referral request issues with District Manager or Supervisor in a timely manner.
- Performs other duties as assigned.
**MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)**
- High school diploma required
- Previous medical office experience preferred
- Strong customer service focus
- Effective verbal and written communication skills
- Teamwork orientation
- Ability to remain highly organized and manage competing priorities
- Ability to utilize sound judgment and resourcefulness in problem solving
- Ability to follow through with delegated tasks and accountability
**PHYSICAL DEMANDS AND WORK ENVIRONMENT**
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.
Job Description: Referral Coordinator
While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.
**NOTE**
The company is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
Job Description: Referral Coordinator
JOB DESCRIPTION ACKNOWLEDGEMENT FORM
I have received a copy of the job description attached.
I have read this job description and completely understand my job duties and responsibilities. I understand that my job may change on a temporary or regular basis according to the needs of my location without it being specifically included in the job description. If I have any questions about job duties not specified on this description that I am asked to perform, I should discuss them with my Manager or Human
Resources.
I have discussed any questions I may have had about this job description prior to signing this form.
- _______________________________________
Employee Signature
- _______________________________________
Employee Name
- ______________
Date
Job Description: Referral Coordinator
Pay: $15.00 - $18.50 per hour
Expected hours: 40 per week
**Benefits**:
- 401(k)
- 401(k) matching
- Health insurance
- Paid time off
Weekly day range:
- Monday to Friday
**Experience**:
- Insurance verification: 1 year (preferred)
- Medical billing: 1 year (preferred)
Ability to Relocate:
- Palm Coast, FL: Relocate before starting work (required)
Work Location: In person
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