Referral Coordinator - Healthcare

CJMC Patient Referral Coordinator

The fundamental reason this classification exists is to ensure that CJMC patient with referral has access to other specialists or institution for additional health care services. The position requires the CJMC staff has a working knowledge of processing patient data and the managed care referral programs. Additionally, the CJMC staff is required to maintain patients' confidentiality in regard to HIPAA and other federal, state and local regulations as stated in the CJMC policies and procedures manual.

Research patients managed care organization for proper providers.

• Educate patients about referral guidelines or policies.
• Obtain current identification for managed care, preparing certification as required.
• Preparing authorization with patient diagnosis and request from primary care physician.
• Maintains current knowledge of all managed care referral policies and implements procedural changes as required.
• Obtains and documents authorizations/pre-authorizations for patients' clinical treatment.
• Knowledge of administrative and clerical procedures.

Ability to follow instructions, given either orally or in writing.

Ability to work with little or no supervision.

Working knowledge of CJMC policies and procedures.

The ability to speak Spanish

Central Jersey Medical Center