Referral Coordinator

Great Salt Plains Health Center•Cherokee, OK
•$16 - $19

About The Position

The Referral Coordinator is a safety-sensitive member of the health center’s interdisciplinary medical team. The position works with providers and patients to support a smooth referral process. The coordinator helps patients and families navigate referrals, communicates with review organizations and insurance companies about prior authorization requirements, and assists with referral-related barriers and follow-up. The position may be performed remotely at the supervisor’s discretion and in alignment with GSP Health policies.

Requirements

  • High school diploma; medical assistant certification may be combined with this qualification.
  • Strong customer service focus.
  • Effective verbal and written communication skills.
  • Teamwork orientation.
  • Good judgment and organizational skills to manage competing priorities.
  • Resourcefulness in problem solving.
  • Ability to take and follow through with delegated tasks and accountability.

Responsibilities

  • Contact review organizations and insurance companies to ensure prior authorization requirements are met, and provide necessary medical documentation such as history, diagnosis, and prognosis information.
  • Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
  • Review referral details and expectations with patients.
  • Ensure referrals are addressed in a timely manner and follow up on patient inquiries that are not immediately resolved.
  • Assist patients with potential health care system issues, including financial or social barriers such as payment arrangements, interpreter services, prescription assistance, and durable medical equipment assistance.
  • Serve as a system navigator and point of contact for patients and families regarding referrals, enabling them to ask questions and raise concerns.
  • Identify and use cultural and community resources, and establish and maintain relationships with identified service providers.
  • Remind patients of scheduled appointments by mail or phone.
  • Keep patients’ primary care charts up to date with information on specialist consultations, hospitalizations, emergency room visits, and community organizations related to their health.
  • Work remotely at the supervisor’s discretion and in alignment with GSP Health policies.
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