Referral Coordinator

Find An ENT Near Me•Jacksonville, FL

About The Position

The Referral Coordinator is responsible for managing all outgoing patient referrals for the ENT practice. This role ensures timely processing, accurate documentation, and seamless coordination between patients, providers, and external healthcare organizations. The Referral Coordinator plays a key role in optimizing patient access to specialty care and maintaining compliance with insurance requirements.

Requirements

High school diploma or equivalent required; associate degree preferred
Minimum of 12 years of experience in a medical office, preferably in ENT or specialty care
Knowledge of insurance plans, referral processes, and prior authorization procedures
Familiarity with electronic medical records (EMR) systems
Strong organizational and multitasking skills
Excellent communication and customer service abilities
Attention to detail and problem-solving skills

Responsibilities

Process outgoing referrals in a timely and accurate manner
Verify patient insurance eligibility and referral requirements (e.g., authorizations, PCP referrals)
Obtain and track prior authorizations for procedures, imaging, and specialty services
Communicate with primary care providers, specialists, and insurance companies regarding referral status
Schedule patient appointments related to referrals and follow up on pending cases
Ensure all referral documentation is complete and properly entered into the EMR system
Monitor referral work queues and maintain logs for tracking and reporting
Provide patients with clear instructions regarding referral processes and next steps
Resolve referral-related issues, including denials and delays
Maintain compliance with HIPAA and organizational policies