Referrals Coordinator
About The Position
The Referrals Coordinator is the primary point of contact for patient transitions, ensuring communication between healthcare providers, specialists, and insurance networks. The role manages the end-to-end referral process, maintains accurate electronic health records, and supports administrative workflows that contribute to coordinated, patient-centered care. Responsibilities include processing incoming and outgoing referrals, verifying insurance eligibility, obtaining prior authorizations, tracking referral status, following up with specialists, and communicating updates to patients and clinical staff. The coordinator also performs data entry, manages high-volume scheduling requests, and ensures documentation complies with HIPAA regulations and organizational policies. Additional duties include coordinating appointments and ancillary services, responding to routine billing and insurance questions, coordinating patient education related to referrals, and arranging the purchase or rental of relevant materials or medical equipment.
Requirements
- Successful completion of accredited medical terminology course(s), or equivalent on-the-job training.
- Two years of progressively responsible work experience in patient scheduling or registration, insurance verification, financial counseling, or a related function.
- Strong background in medical administration or healthcare coordination.
- Understanding of medical terminology and insurance billing processes.
- Proficiency in electronic health record software.
- Strong analytical skills to resolve authorization hurdles.
- Exceptional multitasking abilities and strong attention to detail.
- Ability to work effectively in a fast-paced clinical environment.
- Ability to build rapport with patients and clinical stakeholders.
Responsibilities
- Process incoming and outgoing referral orders and pre-authorizations.
- Verify insurance eligibility and obtain necessary prior authorizations.
- Track referral status and proactively follow up with specialists.
- Communicate referral updates to patients and clinical staff.
- Maintain accurate electronic health records and referral documentation in compliance with HIPAA regulations and organizational policies.
- Perform data entry and manage high-volume scheduling requests.
- Coordinate appointments and ancillary services.
- Respond to patient questions regarding routine billing and insurance matters.
- Coordinate patient instructional and educational activities relevant to referrals.
- Coordinate the purchase of materials or rental of medical equipment relevant to referrals.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
