Referrals

Suncoast Community Health Centers•Ruskin, FL

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; tracks referral progress; and maintains referral records in manual systems and the electronic health record (EHR). It also provides patients with information about referral procedures and helps resolve referral-related questions and issues. The role supports compliance with federal, state, and organizational referral policies, including HIPAA privacy standards, and stays informed about insurance policies, referral requirements, and provider networks. General office support includes preparing referral metrics reports, organizing documentation, and assisting with team operations and other center needs.

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 them when appropriate.
Ability to function well 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 timely and accurate submission of 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).
Explain referral procedures to patients, including timelines, required documentation, and follow-up actions.
Collaborate with clinical and administrative staff to address referral inquiries and patient needs.
Identify and report referral-process issues to the supervisor for corrective action.
Ensure compliance with federal, state, and organizational policies related to referrals, including HIPAA privacy standards.
Stay informed about insurance policies, referral requirements, and provider networks.
Assist with general office tasks, including preparing reports on referral metrics, organizing documentation, and supporting team operations.
Perform additional tasks as needed to support the centers.