Referral Coordinator

Referral Coordinator - Stony Brook CPMP - Ambulatory

Location: Commack, NY

Schedule: Full-Time

Days/Hours: Monday - Saturday; 8:00 AM - 8:00 PM - Hours Vary

Pay: $25.27 - $31.58

Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee.

The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting

Responsibilities

The Referral Coordinator will work under the guidance and supervision of the Referral Coordinator Supervisor, as well as the Assistant Director of Ambulatory Operations to ensure alignment with the strategic patient access goals of the health system. Ensuring timely, accurate, and patient-centered processing of referrals across all specialties and providers, this position will serve as a liaison between referring providers, specialists, patients, and support staff. The Referral Coordinator will promote continuity of care, reducing barriers to access, and enhancing the overall patient experience.

As the structure and scope of ambulatory operations at Stony Brook Medicine continues to evolve, it is anticipated that scope and assignments of this position may change accordingly.

Job Duties & Essential Functions:

• Serve as a liaison point of contact between physicians, patients, and specialty departments.
• Monitor daily referral queues, ensuring referrals are processed within established timeframes and quality standards.
• Verify referral requirements based on insurance plans, provider preferences, and organizational policies.
• Coordinate incoming and outgoing referrals, ensuring all necessary clinical documentation is obtained and transmitted accurately.
• Communicate effectively with patients regarding referral status, appointment scheduling, insurance authorization.
• Track referral completion and follow-up to ensure continuity of care and documentation in the electronic health record (EHR).
• Ensure compliance with payer requirements for pre-authorizations and network referrals.
• Maintain strong working relationships with physicians, office staff, and external specialty offices.
• Participate in interdepartmental meetings to enhance communication between referral sources.

Qualifications

Required Education & Qualifications:

• High school diploma or equivalent required.
• Associate or bachelor's degree in healthcare administration preferred. In lieu of degree 5 years of experience in medical office operations or referral coordination required.
• Three (3) years of healthcare referral experience.
• Must be able to show highly developed organizational, problem-solving, interpersonal, and oral and written communication skills. Must have strong Word, Excel and Power point skills.
• Demonstrated commitment to patient confidentiality and quality service delivery.

Preferred Qualifications:

• Bachelor's Degree
• Demonstrable experience with prior authorization requirements and referral processes. Prior use of Cerner electronic medical record and experience with Cerner Practice Management module a plus

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. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management.

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits.  SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.

CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.

CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP's employees to perform their job duties may result in discipline up to and including discharge.