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Referral Coordinator

2 months ago

Anaheim, California, United States American Family Care Anaheim Full time
Job Title: Referral Coordinator

We are seeking a highly organized and detail-oriented Referral Coordinator to join our team at American Family Care Anaheim.

Job Summary:

The Referral Coordinator will be responsible for coordinating referrals, establishing and standardizing systems and procedures for the distribution and use of health information throughout the organization. This role will work closely with individuals within and outside the organization to coordinate important health-related specialist visits for patients.

Key Responsibilities:
  • Ensure current referral policies and workflows are standardized, accurate, and up-to-date.
  • Prioritize and track referrals by their urgency and address them in a timely manner.
  • Participate in the selection, orientation, and training of referral personnel.
  • Ensure complete demographic, insurance information, and appropriate/pertinent clinical information is sent to referred specialists.
  • Contact insurance companies to ensure prior approval requirements are met.
  • Review details and expectations about the referral with both ordering providers and patients.
  • Develop and implement systems as required by EMR functionality and/or regulatory agencies.
  • Identify and utilize community resources; establish relationships with servicing providers and personnel.
  • Point of contact for patients and specialists for any questions or rising concerns.
Requirements:
  • Experience with referrals in healthcare preferred.
  • Experience with Electronic Health Records required.
  • Proficient knowledge of insurance policies, CPT, and ICD-10.
  • Computer literate and proficient in MS Office.
  • Excellent critical thinking and decision-making skills.
  • Strong customer service skills, professional attitude, clerical expertise, IT competence, and strong organizational skills.
Work Schedule:
  • Monday to Friday