Referral Coordinator

SB Clinical Practice Management • Commack, NY

12d • $25 - $32

About The Position

SUMMARY: The Referral Coordinator will work under the guidance and supervision of the Referral Coordinator Supervisor, as well as the Assistant Director of Ambulatory Operations to ensure alignment with the strategic patient access goals of the health system. Ensuring timely, accurate, and patient-centered processing of referrals across all specialties and providers, this position will serve as a liaison between referring providers, specialists, patients, and support staff. The Referral Coordinator will promote continuity of care, reducing barriers to access, and enhancing the overall patient experience. As the structure and scope of ambulatory operations at Stony Brook Medicine continues to evolve, it is anticipated that scope and assignments of this position may change accordingly.

Requirements

• High school diploma or equivalent required.
• Associate or bachelor’s degree in healthcare administration preferred. In lieu of degree 5 years of experience in medical office operations or referral coordination required.
• Three (3) years of healthcare referral experience.
• Must be able to show highly developed organizational, problem-solving, interpersonal, and oral and written communication skills. Must have strong Word, Excel and Power point skills.
• Demonstrated commitment to patient confidentiality and quality service delivery.

Nice To Haves

• Bachelor’s Degree
• Demonstrable experience with prior authorization requirements and referral processes. Prior use of Cerner electronic medical record and experience with Cerner Practice Management module a plus

Responsibilities

• Serve as a liaison point of contact between physicians, patients, and specialty departments.
• Monitor daily referral queues, ensuring referrals are processed within established timeframes and quality standards.
• Verify referral requirements based on insurance plans, provider preferences, and organizational policies.
• Coordinate incoming and outgoing referrals, ensuring all necessary clinical documentation is obtained and transmitted accurately.
• Communicate effectively with patients regarding referral status, appointment scheduling, insurance authorization.
• Track referral completion and follow-up to ensure continuity of care and documentation in the electronic health record (EHR).
• Ensure compliance with payer requirements for pre-authorizations and network referrals.
• Maintain strong working relationships with physicians, office staff, and external specialty offices.
• Participate in interdepartmental meetings to enhance communication between referral sources.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED