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

Front Desk & Cross-Training

Other Duties as Assigned

Qualifications & Requirements :

Education & Experience :

Skills & Competencies :

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