Referral Coordinator - Continuity Care Clinic

Prime Healthcare • Woonsocket, RI

3d • Onsite

About The Position

The Referral Coordinator is a liaison between insurance, healthcare providers, and the clinic to ensure required referrals have been processed correctly for medical specialty visits. The position is responsible for scheduling referrals for patients at the request of providers and/or staff. The coordinator directly communicates with the clinics, referred to clinics, and patients, and reviews clinical data to report medical necessity to insurance companies.

Requirements

• High school diploma or equivalent required.
• Knowledge of Electronic Medical Systems.

Nice To Haves

• 2-year experience in a clinic work environment preferred.
• Knowledge of medical terminology preferred.

Responsibilities

• Ensure required referrals have been processed correctly for medical specialty visits.
• Schedule referrals for patients at the request of providers and/or staff.
• Directly communicate with clinics, referred to clinics, and patients.
• Review clinical data to report medical necessity to insurance companies.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED