Referral Coordinator for Quality Department

4 weeks ago


Albany, Georgia, United States Albany Area Primary Health Care Full time

Job Title: Referral Specialist- Patient Service Center Lee County

Job Summary:

As a Referral Specialist in the Quality Department, you will play a crucial role in ensuring the coordination of internal and external resources to provide quality care to patients. You will serve as the first point of contact for referring physicians' offices and new patients related to the referral process.

Key Responsibilities:

  1. Check the referral log daily and maintain it in a timely manner, ensuring referrals are completed within 30 days.
  2. Call patients back with referral information promptly.
  3. Document the referral cycle in the appropriate location.
  4. Obtain authorizations as needed and required.
  5. Answer the phone and handle calls appropriately.
  6. Resolve pre-certification, registration, and case-related concerns prior to a patient's appointment.
  7. Verify and secure authorizations/referrals for all visits and coordinate outside referrals, appointments, and authorizations for diagnostic testing and other services.
  8. Schedule, track, and communicate with patients to ensure completion of all physician referrals.
  9. Provide timely feedback to providers if referral appointments are not kept.
  10. Ensure documentation is received back into patient medical records for all diagnostic testing and outside referral services.
  11. Expedite administrative requirements for patient referrals in the clinic, ensuring appropriate referrals are made to participating providers with patients' health plans.

About Albany Area Primary Health Care:

We are a healthcare organization dedicated to providing quality care to our patients. Our team is committed to excellence and works together to ensure the best possible outcomes for our patients.


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