Referral Coordinator

Central Florida Health Care•Winter Haven, FL

10d

About The Position

The Referral Coordinator manages the patient referral process for referrals ordered by CFHC providers. The role includes obtaining and verifying third-party information, securing authorizations, arranging and tracking referral appointments, and ensuring relevant documentation reaches specialists or patients. The coordinator also serves as an Outreach Liaison and Team Lead, trains new hires and clinical staff, and provides coverage for the referral specialist when needed. The position reports to the Referral Specialist Supervisor and supervises no personnel. It is classified as non-exempt.

Requirements

High school graduate or GED required.
Computer literacy.
Knowledge of basic medical terminology.
Knowledge of insurance programs, such as Medicaid.
Strong customer service focus.
Effective verbal and written communication skills.
Organized and able to manage competing priorities.
Resourceful in problem solving.
Able to take and follow through with delegated tasks.
Team oriented.
Able to perform duties independently or with reasonable accommodation, as applicable.
Able to remain sedentary for 80% or more of the time and be independently mobile.
Able to lift weights equivalent to those required for repositioning equipment and lifting supplies.
Able to adapt and function in varying workload, patient acuity, worksite, and work-shift environments.

Nice To Haves

Certified and Registered Medical Assistant credentials preferred.
Experience preferred.

Responsibilities

Coordinate all aspects of completing referrals ordered by CFHC providers.
Complete STAT referrals by the end of the business day, urgent referrals within 24 hours, and routine referrals within 72 hours.
Obtain insurance authorizations and submit required documentation from patient medical records.
Schedule referral appointments when applicable and ensure relevant paperwork is faxed to the specialist or provided to the patient.
Notify patients of scheduled referral appointments.
Document referral activities appropriately and thoroughly.
Track referrals to support quality and continuity of care, including making reminder calls and obtaining specialist reports.
Notify the ordering provider and/or Referral Specialist Supervisor of problems obtaining referrals, authorizations, or appointments; patient refusal; or patient no-shows.
Maintain the specialty provider list, including accepted payor sources.
Review the referral log weekly to ensure referrals are completed.
Serve as the point of contact when the supervisor is out of the office or on vacation.
Train new hires, providers, and nursing staff.
Serve as an Outreach Liaison by visiting specialist offices to obtain necessary information.
Provide backup coverage for the referral specialist during vacation.
Follow CFHC program philosophies, goals, objectives, policies, procedures, and applicable state and federal regulations.
Be competent in referral specialist duties and report pertinent information or situations affecting patient care or CFHC liability to the CMO as needed.
Attend and participate in mandatory CFHC meetings and other meetings as designated by the CMO or CEO.
Work cooperatively with and support clinical team members, maintain a neat and professional appearance, and perform other duties assigned by the Referral Specialist Supervisor, CMO, or CEO.