Referrals Coordinator

Referrals Coordinator

This position is hybrid remote. One day per week is required on location.

Position Summary: Responsible for generating and processing referrals for specialist care and specialized testing.

Reports To: Lead Referrals Coordinator

FLSA Status: Non-exempt

Primary Responsibilities:

• Processes all generated referral orders in a timely manner, per health center policy
• Maintains documentation of approved referral status in an organized filing system in order to easily retrieve and verify for CHCFC patients, specialists or insurance organizations.
• Creates and submits necessary documentation for appeals for referral services as required.
• Provides training to all personnel on any new requirements for accessing necessary testing, referrals in order to provide quality patient care.
• Confers as needed with Operations managers, staff leads and provider staff to identify problems and opportunities for improvement in referral operations and assure coordinated, smooth operations between these two departments.
• Confers with designated personnel of individual insurance plans to clarify any information needed to generate referrals properly and efficiently and trains appropriate staff as needed.
• Advises patients on procedures, policies and questions relating to referrals and insurance requirements; refers patients to appropriate personnel as needed if unable to resolve issues.
• Follows up on overdue open referral orders to determine outcome of referral and documentation of any necessary information.
• Assists in orienting all new clinical personnel to the referrals department policies and procedures.
• Performs other duties as required or assigned.

Required Skills, Education & Experience:

Strong commitment to CHCFC Mission. Strong interpersonal and communication skills.

Ability to work with a diverse population and sensitivity to low-income populations.

Education: High school diploma or equivalent; associate's degree or advanced training in office management preferred.

Experience: 3 to 5 years of medical office experience preferred

Skills: Word processing and experience with computerized medical billing and insurance verification.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to stand, walk, sit, use the hands to finger, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. Must be able to lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

Working Conditions:

While performing the required duties of this job, the employee is exposed to weather conditions prevalent when traveling between Health Center locations where medical care is provided. This position performs tasks that involve exposure to blood, body fluids or tissues.

This job description is subject to review in the light of changing circumstances and is not intended to be rigid and inflexible but should be regarded as providing guidelines within which the employee works. Performs other duties as assigned.