Referral Coordinator

Job Description

Job Description

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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