Referral Coordinator

COMMUNITY HEALTH CENTER OF CAPE COD • Bourne, MA

13d

About The Position

Referral Specialist is responsible for coordinating and processing of referrals, pre-certifications, and authorizations for internal and external referrals for health center patients with the objective of ensuring timely, streamlined and efficient referral practices. Acts as a resource for teams, staff, and patients by maintaining current knowledge of insurance requirements and communication of those requirements to teams staff and patients.

Requirements

• Qualifications

Responsibilities

• Responsible for coordination, implementation, generation and authorization of referrals to outside providers, specialists and other agencies with attention to patients insurance.
• Obtains appropriate authorizations from insurance company and documents authorization on referral and in EMR.
• Responsible for directing progress notes, labs, and xrays to specialists as required for completing referral.
• Review details and expectations about the referral with patients.
• Serves as point of contact and resource to patients, team and staff.
• Process and call all stat referrals for team.
• Responsible for documentation of all processed referrals in EMR.
• Serve as a phone liason for patients outside providers, specialists and other agencies regarding referrals.
• Ensures that all referrals are done accurately and within a timely manner

What This Job Offers

• Education Level: No Education Listed