Referrals

Suncoast Community Health Centers Inc.•Ruskin, FL

22h

About The Position

The Referrals role processes patient referrals to internal and external specialists and services, ensuring required documentation and insurance authorizations are submitted accurately and on time. The position coordinates referrals with patients, outside agencies, providers, and clinical and administrative staff, and tracks referrals through completion. It maintains referral records in manual systems and the electronic health record, explains referral procedures to patients, and identifies process issues for supervisor review. The role also supports compliance with applicable referral policies and HIPAA privacy standards, keeps informed about insurance and provider-network changes, and assists with reporting, documentation organization, and general center operations.

Requirements

High school diploma or equivalent is required.
Excellent verbal and written communication skills.
Excellent interpersonal and customer service skills.
Excellent organizational skills and attention to detail.
Excellent time-management skills and a proven ability to meet deadlines.
Strong analytical and problem-solving skills.
Ability to prioritize tasks and delegate when appropriate.
Ability to function in a fast-paced and sometimes stressful environment.
Ability to use office equipment, including computers, copy machines, fax machines, telephones, and calculators.
Proficiency with Microsoft Office Suite, electronic medical records (EMR), and related software.
Ability to travel to various center locations as required.

Responsibilities

Process patient referrals to internal and external specialists and services, including required documentation and insurance authorizations.
Coordinate client referrals and communicate with outside agencies and providers to facilitate appointments and services.
Track referral statuses and follow up with providers, patients, and external offices to support timely completion.
Maintain accurate, up-to-date referral records in manual systems and the electronic health record (EHR) system.
Instruct patients on referral procedures, timelines, required documentation, and follow-up actions.
Collaborate with clinical and administrative staff to address referral-related inquiries and patient needs.
Identify and report referral-process issues to the supervisor for corrective action.
Ensure compliance with federal, state, and organizational referral policies, including HIPAA privacy standards.
Stay informed about changes in insurance policies, referral requirements, and provider networks.
Assist with office tasks, including preparing referral-metrics reports, organizing documentation, and supporting team operations.
Perform additional tasks as needed to support the centers.