Referral Coordinator
7 days ago
The Referral Coordinator plays a vital role in supporting the clinical unit with clerical activities. This individual will coordinate all external and some internal services, scheduling consultations, diagnostic testing, and surgical procedures. The ideal candidate will input referrals and authorizations into a data bank and coordinate follow-up care with referral physicians as approved by a Physician Associate physician.
Key Responsibilities- Responsible for order entry into the computer system.
- Coordinates and schedules referrals when necessary per policy.
- Ensures that all necessary medical records are forwarded to referral providers.
- Acts as a resource for staff and patients with questions regarding referral policies and procedures.
- Provides internal and external referral coordination.
- Inputs all authorization information into the database, including diagnostic and procedure codes.
- Obtains appropriate authorizations as needed.
- Refers requests for emergency care and urgent care or medical advice to the appropriate staff member.
- Acts as a resource for staff and patients with questions regarding insurance benefits.
- Contacts patients with information concerning tests ordered by a provider as necessary.
- Orders and/or directs patients for outside tests.
- Helps to maintain daily flow by assisting the Supervisor as directed.
- Works effectively as a member of a patient care team and contributes suggestions for improving unit and organization operations.
- High school diploma or GED.
- Previous experience in a physician's office, clinic, or hospital processing referrals.
- Medical terminology knowledge.
- Experience scheduling healthcare appointments.
- Experience with office equipment, including computers, calculators, fax machines, and copiers.
- Bilingual in English and Spanish.
- Proficient on Microsoft Office.
- Proficient in the use of ECW.
- Experience in different insurance portals.
- Medicaid and Medicare knowledge.
This position works under usual office conditions. The employee is required to work at a personal computer and be on the phone for extended periods. Must be able to stand, sit, walk, and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include the ability to lift up to 50 lbs.
DisclaimerThe duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time.
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