Patient Referral Coordinator

Job Description

Serve as a liaison between insurance and health care providers to ensure the timely coordination, and accurate processing, of patient referrals required for medical specialty visits.

Required Experience

Associate degree plus one (1) year of experience directly related to the processing of patient referrals;
OR High school diploma or GED plus three (3) years of experience working as a Certified Medical Assistant;
OR High school diploma or GED plus five (5) years of experience directly related to patient registration, patient scheduling, patient billing/collections, the processing of prior authorizations, and/or the processing of patient referrals.

Preferred Experience

• Experience with Microsoft applications (MS).
• Experience with EMR( Electronic Medical Records)
• Experience working in a clinic setting.
• Experience working with the consult/referral process.

Additional Qualifications/Responsibilities

• Manage the operation of the clinic's patient referral requests to ensure they are completed in a timely manner for patient care.
• Primary contact for patient referrals and are responsible for receiving patient referrals and maintaining and tracking referral requests.
• Perform the scheduling of appointments for specialty consultations, radiology and laboratory testing.
• Obtain and send insurance authorizations and referrals for patient consultations and radiology and diagnostic testing.
• Respond to and follow up on messages in the EHR(Electronic Health Records) daily.
• Verify insurance information for every patient that requires a consultation, specialty radiology, or laboratory testing.
• Provide updates to the clinical team/provider and administration regarding referral patient statuses as needed.