Referral Coordinator

1 week ago


Boca Raton, Florida, United States CoreSmart Full time
Job Title: Referral Coordinator

We are seeking a highly organized and detail-oriented Referral Coordinator to join our dynamic team at CoreSmart. In this pivotal role, you will be responsible for managing patient referrals, ensuring a seamless process from initiation to completion.

Key Responsibilities:
  • Manage patient referrals from initiation to completion, ensuring a smooth process.
  • Screen physician orders for prior-authorizations, including medication orders, imaging orders, and orders for procedures.
  • Act as a primary point of contact for patients and healthcare providers regarding referral/prior-authorization status and inquiries.
  • Coordinate with medical staff to ensure that all necessary information is obtained for smooth processing of prior-auths.
  • Maintain and update electronic medical records and referral tracking systems to ensure accurate documentation.
  • Educate patients on prior authorization processes, appointment scheduling, and required documentation for insurance.
  • Collaborate with physicians, specialists, and healthcare teams to address any issues or questions that arise during the referral/prior-authorization process.
Requirements:
  • High school diploma or equivalent; associate's or bachelor's degree in healthcare administration or a related field preferred.
  • Proven experience in a healthcare setting, particularly in referral management or patient coordination.
  • Strong communication skills, both verbal and written, to effectively interact with patients and medical personnel.
  • Excellent organizational skills with the ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
  • Familiarity with electronic medical records (EMR) and scheduling systems is highly desirable.
  • Knowledge of medical terminology and healthcare insurance processes to navigate referral complexities.
  • Demonstrated ability to work collaboratively within a team, as well as independently, to achieve departmental goals.
Benefits:
  • Competitive salary
  • Generous paid time off
  • 401K with employer matching
  • Opportunities for continuing education
  • Flexible work schedule


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