Referral Coordinator

Swope Health•Kansas City, MO

10d

About The Position

The Referral Coordinator at Swope Health Services processes and tracks referrals to outside ancillary services for the PCMH department, supporting a team-based approach to proactive, planned, coordinated, evidence-based care. The coordinator ensures referral information is complete, contacts specialist offices, communicates referral details and appointment instructions to patients, documents interactions in eCW, tracks referrals according to Swope Health policies and procedures, and obtains specialist documentation for review by the referring provider.

Requirements

High school diploma or equivalent.
Excellent communication skills, customer-service orientation, and telephone etiquette.
Ability to work with staff, visitors, and clients.

Nice To Haves

Graduation from a Medical Assistant program.
One year of experience working in a medical office.
Basic Life Support (BLS) certification.

Responsibilities

Ensure the provider has completed all information needed to process a referral, including forms required by the specialist.
Enter information needed to complete the referral, including insurance details and any required insurance authorization code.
Contact the receiving provider or specialty office to confirm it can accept the patient based on the referral and insurance, identify the person spoken with, and advise that a referral is being sent.
Send the specialist all referral information and request notification if the patient does not keep the appointment, as well as automatic delivery of visit documentation and reports.
Contact the patient to explain the referral, provide the specialist’s name, address, telephone number, appointment instructions, and guidance about rescheduled appointments.
Document appointment details and all interactions with the patient or referring entity in the referral’s Notes section in eCW, including specialist-office contacts, referral transmission, patient notification, whether the specialist will call the patient to arrange the appointment, and subsequent calls.
Mark the referral Pending after the required steps have been completed and documented, then track it according to Swope Health policies and procedures.
Obtain documentation from specialists or consultants through health information exchange portals or fax and send it to the referring provider for review.

Benefits

Medical benefits, including a Health Savings Account option
Dental and vision benefits
401(k) retirement plan with company match
Company-paid life insurance
Company-paid Accidental Death & Dismemberment coverage
Company-paid short- and long-term disability
Flexible Spending Account
Paid Days Off beginning at 12 days annually, effective the first day of employment
Eight annual company-paid holidays
One annual paid personal day