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ReferralsSuncoast Community Health Centers Inc. • Wimauma, FL, USA
Referrals

Referrals

Suncoast Community Health Centers Inc. • Wimauma, FL, USA
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POSITION TITLE : REFERRALS

FLSA : NON - EXEMPT

Job Summary :

The Referrals Specialist coordinates and processes patient referrals, ensuring accurate documentation, insurance approvals, and timely follow-up. They work with patients, staff, and external providers to ensure access to care while maintaining compliance. The specialist also keeps detailed records and guides patients on next steps. Supervisory Responsibilities :

  • None

Duties / Responsibilities :

  • Process patient referrals to internal and external specialists and services, ensuring timely and accurate submission of required documentation and insurance authorizations.
  • Coordinate client referrals and communicate with outside agencies and providers to facilitate appointments and services.
  • Track referral statuses and follow up with providers, patients, and external offices as needed to ensure timely completion.
  • Maintain accurate and up-to-date referral records in both manual systems and the electronic health record (EHR) system.
  • Instruct patients on referral procedures, providing clear information about timelines, required documentation, and follow-up actions.
  • Collaborate with clinical and administrative staff to address referral-related inquiries and meet patient needs promptly.
  • Identify and report issues in the referral process to the supervisor for corrective action.
  • Ensure compliance with federal, state, and organizational policies related to referrals, including HIPAA privacy standards.
  • Stay informed about changes in insurance policies, referral requirements, and provider networks to ensure smooth coordination.
  • Assist with general office tasks, such as preparing reports on referral metrics, organizing documentation, and supporting team operations.
  • Perform additional tasks as needed to support the centers.
  • Required Skills / Abilities :

  • Excellent verbal and written communication skills.
  • Excellent interpersonal and customer service skills.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.
  • Strong analytical and problem-solving skills.
  • Ability to prioritize tasks and to delegate them when appropriate.
  • Ability to function well in a high-paced and at times stressful environment.
  • Must be able to effectively manage workflow and maintain high-quality standards in environments where staffing levels may be below ideal, demonstrating the ability to prioritize tasks and collaborate with the team under pressure.
  • Ability to use office equipment, including computers, copy machines, fax machines, telephones, calculators, and more.
  • Proficient with Microsoft Office Suite, Electronic Medical Records (EMR) and related software.
  • Education and Experience :

  • High School Diploma or equivalent is required.
  • Physical Requirements :

  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.
  • Must be able to travel to various center locations as required.
  • Job Posted by ApplicantPro

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    Referral • Wimauma, FL, USA

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