Referral Coordinator

Chesapeake Regional Healthcare•Camden, NC

About The Position

The Referral Coordinator is responsible for managing patient referrals, ensuring timely and accurate communication between providers, and facilitating patient access to necessary medical services. This role involves coordinating with both internal and external healthcare providers, scheduling appointments, managing prior authorizations, and maintaining patient records within the Electronic Medical Record (EMR) system. The position requires a strong understanding of medical office procedures, insurance billing, and medical terminology, with a commitment to providing quality patient care and upholding the organization's values.

Requirements

High School Diploma
At least two years of medical office experience.
Insurance medical billing and coding knowledge.
Demonstrated knowledge of insurance referral process.
Basic understanding of medical terminology.
Electronic medical record experience.
Customer relations skills.

Responsibilities

Sends referrals to internal and external providers or organizations as directed by the Primary Care Provider.
Follows up to ensure the patient attended the referral appointment if a consult note is not received.
Schedules all incoming referrals.
Sends the provider note back to the referring provider or organization.
Attends required hospital-wide orientations, meetings, and in-services.
Demonstrates a commitment to flexible work schedule/location when necessary to ensure patient care.
Supports the hospital's mission to provide consistent, quality health care services by demonstrating respect for all patients, families, guests, fellow employees, and medical staff.
Displays courtesy and sensitivity when interacting with customers, peers and others.
Effectively relates any customer input regarding customer service to the appropriate person.
Keeps patient and family members informed about patient care, always maintaining confidentiality.
Assists all CRMG physicians with EMR troubleshooting.
Assists PSR staff with insurance questions related to registration.
Communicates effectively and professionally with patients, families and coworkers.
Interacts with others in a positive, respectful and considerate manner.
Promotes cost containment and efficient use of facility resources.
Participates in continuing education and other learning experiences.
Sends all outgoing referrals to specialists or testing.
Follows up to ensure patient was scheduled.
Closes the referral with attached specialist note or imagining ensuring patient compliance.
Calls incoming referrals to schedule patient appointment.
Ensures notes are sent to the referring organization.
Completes any prior authorization paperwork for all referrals requiring it.
Assists with scheduling stat testing, if the clinical staff member is unable, with manager approval.
Assist with checking patients in and out.
Answering incoming calls.
Perform other duties as assigned.