Referral Coordinator

Job Description

Job Description

POSITION SUMMARY: The

Referral Coordinator

is responsible for the coordination, processing, and scheduling of medical referrals and prior authorizations for a variety of dermatologic and surgical services. This role supports clinic providers by ensuring referrals are completed efficiently and accurately while adhering to third-party payer requirements. The Referral Coordinator also assists with answering phones, handling appointment reschedules and recalls, and providing front desk support as needed. The ideal candidate is

highly organized, detail-oriented, self-motivated, and personable

, with strong communication skills and the ability to manage a high volume of referrals across multiple providers and locations. ESSENTIAL DUTIES AND RESPONSIBILITIES: Referral Coordination & Scheduling

Monitor

referral requests

throughout the day. Prepare and process all

referral and prior authorization paperwork

in a timely manner. Gather necessary patient and clinical information from the EMR or clinical team. Contact specialty clinics, insurance providers, and facilities to complete referral and pre-authorization requests. Utilize

third-party payer/insurance portals

and maintain detailed knowledge of insurance requirements for authorization approval. Call patients within

48 hours

of the initial referral request to provide an update. Maintain and update

electronic medical records (EMR)

with all referral and authorization details. Patient & Administrative Support

Answer incoming calls and assist with patient inquiries regarding referrals, appointments, and authorizations. Manage appointment

reschedules and recalls

, ensuring timely follow-up for patients. Ensure all communication with patients and external offices adheres to

HIPAA regulations

. Work closely with

providers, medical assistants, schedulers, and front desk staff

to coordinate patient care efficiently. Front Desk & Cross-Training

Serve as

backup for the front desk team

, assisting with check-ins, check-outs, and administrative tasks when needed. Stay up to date on front desk policies and procedures to ensure seamless support when required. Other Duties as Assigned

Perform additional administrative or clerical tasks as required to support Tucson Dermatology’s operations. Qualifications & Requirements: Education & Experience:

High school diploma or equivalent

(required) Minimum

1-2 years

of experience in a

medical office, dermatology practice, or healthcare setting

. Previous experience with

medical referrals, prior authorizations, and insurance verification

is

highly desirable

. Familiarity with

CPT and ICD-10 coding

is preferred. Skills & Competencies:

Strong

organizational and time management skills

with a high level of accuracy. Excellent

verbal and written communication skills

. Ability to

prioritize workload

and handle multiple tasks efficiently. Self-motivated and able to work independently while

collaborating with a team

. Proficiency in

electronic medical records (EMR) and scheduling systems

. Strong knowledge of

insurance portals, third-party payers, and authorization requirements

. Personable and professional demeanor with a

commitment to outstanding patient care

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