Referral Coordinator

Job Description

Job Description

Description

We are seeking a highly organized and detail-oriented Referral Coordinator to join our dynamic team. In this pivotal role, you will be responsible for managing patient referrals, ensuring a seamless process from initiation to completion.

You will act as a liaison between patients, physicians, and specialists to facilitate the delivery of high-quality care.

As a Referral Coordinator, your primary goal will be to streamline communication, reduce wait times, and enhance the patient experience.

This role demands exceptional multitasking abilities, a deep understanding of medical protocols, and an unwavering commitment to patient advocacy.

You will utilize electronic medical records to track referrals and prior authorizations and communicate vital information across various departments.

Additionally, you will play a crucial role in educating patients about their referrals and prior-authorizations, answering their questions, and addressing any concerns.

Your collaborative spirit and proactive approach will contribute to fostering strong relationships between healthcare providers and patients, ensuring that everyone involved in the referral / prior-authorization process is informed and supported.

If you possess a passion for healthcare and have a knack for organization, we would love to hear from you!

Responsibilities

• Responsible for prior authorization and referral process from initiation to completion
• Screen physician orders for prior-authorizations that are needed to process, including medication orders, imaging orders, and order for procedures.
• Act as a primary point of contact for patients and healthcare providers regarding referral / prior-authorization status and inquiries.
• Coordinate with medical staff to ensure that all necessary information is obtained for smooth processing of prior-auths.
• Maintain and update electronic medical records and referral tracking systems to ensure accurate documentation.
• Educate patients on prior authorization processes, appointment scheduling, and required documentation for insurance.
• Collaborate with physicians, specialists, and healthcare teams to address any issues or questions that arise during the referral / prior-authorization process.

Requirements

• High school diploma or equivalent; associate's or bachelor's degree in healthcare administration or a related field preferred.
• Proven experience in a healthcare setting, particularly in referral management or patient coordination.
• Strong communication skills, both verbal and written, to effectively interact with patients and medical personnel.
• Excellent organizational skills with the ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
• Familiarity with electronic medical records (EMR) and scheduling systems is highly desirable.
• Knowledge of medical terminology and healthcare insurance processes to navigate referral complexities.
• Demonstrated ability to work collaboratively within a team, as well as independently, to achieve departmental goals.

Benefits

• Competitive salary
• Generous paid time off
• 401K with employer matching
• Opportunities for continuing education
• Flexible work schedule
25 days ago