Medical Referral Coordinator

Job Description

Job Description

A growing specialty medical group is seeking a Patient Referral Coordinator to support high-volume patient intake and scheduling operations. This role is critical in ensuring a seamless experience for new patients by coordinating referrals, verifying insurance eligibility, and scheduling appointments efficiently and compassionately.

Key Responsibilities
- Manage incoming referrals and convert them into patient records within the EMR system (eClinicalWorks)
- Verify insurance coverage, referral requirements, and authorization details (including primary/secondary coverage and claims information)
- Handle high-volume inbound calls (approximately 40/day) on the dedicated new patient line
- Schedule new patient appointments in accordance with clinical guidelines and provider availability
- Communicate clearly and empathetically with patients, including educating them on appropriate care pathways (e.g., benefits of seeing a Nurse Practitioner based on diagnosis)
- Prioritize and coordinate scheduling for referring partner offices, maintaining strong relationships with ~10 external clinics
- Ensure accuracy and compliance with internal processes and payer requirements
- Deliver exceptional customer service and go above and beyond to support patient needs