Referral Coordinator

Qualifications

• Computer Skills
• CNA/CMA/MOA

Job Description

Referral Coordinator

Job Summary: Performs a wide range of administrative clinical duties to include referral processing; insurance authorizations; referral patient appointment scheduling; communication with providers and clinical staff; communication with referral sources and other tasks as assigned.

Essential Functions

• Responsible for initiating diagnostic and routine referrals.
• Responsible for tracking, coordinating, and communicating patient referrals to providers, clinical staff, and patient(s).
• Responsible for communicating any delays in referral scheduling to provider.
• Ensures complete and accurate patient referral information, including demographics and current insurance information, is communicated to referral sources.
• Serves as point person in the referral evaluation process to include patient scheduling, and internal communications.
• Serves as point person for third party communications, including prior authorizations.
• Assembles referral information concerning patient’s clinical background and referral needs.
• Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met.
• Reviews details and expectation(s) of referral with the patient.
• Assists patient to problem solve potential issues related to financial or social barriers, ie. interpreters, transportation, etc.
• Ensures that referrals are addressed in a timely manner per Goshen Medical Center’s policy.
• Communication with referral source to ensure patient referral is complete.
• Communicates with referral source(s) to complete the patient’s referral process by assuring patient attended scheduled appointment and that EMR contains notes from appointment.

Skills and Qualifications

• Strong patient focus with two (2) years of medical experience.
• Effective verbal and written communication skills.
• Strong working knowledge of medical terminology.
• Organized and able to manage multiple priorities.
• Able to take and follow through with delegated tasks and accountability.
• Electronic medical record experience, preferred.
• High school diploma or general education degree and two (2) years of related experience.

Physical Demands

• Frequently use hands to finger, handle, or feel and talk or hear.
• Occasionally required to stand, walk, sit, and reach with hands and arms.
• Occasionally lift and/or move up to 10 pounds.