Referral Coordinator

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Referral Coordinator

You will be the main point of contact for all referrals, and will be scheduling all of our new patients. Also, as a Referral Coordinator you will learn to thoroughly understand and comprehend different retinal diagnoses, and appropriately differentiate between emergent and non-emergent referrals. You will utilize a high level of customer service skills and phone etiquette to provide professional, and efficient service for our referring physicians and their patients.

Responsibilities & Duties
Answer all incoming calls from referring physicians and ensure their requests are fulfilled and questions answered as needed
Provide referring physicians data on referred patient exams as needed
Appropriately schedule all referred patients in a timely manner, based on diagnosis and urgency of the referral
Ensure complete patient demographics, insurance information, and appropriate clinical information is recorded in the chart
Ensure all outgoing referrals are submitted for approval with appropriate ICD and CPT codes as requested by insurance carriers
Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis to insurance carriers
Establish relationships with service providers and personnel
Point of contact for patients and referring provider for any questions or concerns
Assist in problem-solving potential issues related to referrals working under the guidance of the Clinic Manager
Responsible for scheduling and notifying patients of scheduled appointments via phone, email, mail
Responsible for calling referring providers’ offices to gather consultation notes
Responsible for scanning all documents and consultation notes in patient’s charts
Communicate with CRC doctors and Clinic Manager on any delay and / or issues regarding referrals
Review all incoming faxes in a timely manner regarding patient referrals
Facilitate clinical communications as needed
Listen and respond to patient’s and referring provider needs and provide guidance and information.
Schedule urgent appointments, based on necessity and acuity
Monitor, accurately document, and communicate patient condition as appropriate in the EMR system
Serve as backup for incoming phone calls if necessary due to high volume of calls