Referral Coordinator Jobs

About The Position

Requirements

• High school diploma or GED required.
• One to two years of referral experience.
• Bilingual in English and Spanish required.
• Reliable transportation required.
• Excellent people skills and ability to partner with a dynamic leadership team.
• Integrity, credibility, and commitment to the organizational mission.
• Flexibility, ability to multitask in a fast-moving environment, and ability to set priorities and work toward clarity and solutions.
• Strong customer service focus.
• Effective verbal and written communication skills.
• Teamwork orientation.
• Organization and ability to manage competing priorities.
• Good judgment and resourcefulness in problem solving.
• Ability to take and follow through on delegated tasks and maintain accountability.
• Ability to push and pull objects up to 25 pounds and lift and carry up to 25 pounds.
• Frequent wrist, hand, and finger dexterity for fine motor functions without tremor; full range of body motion, including twisting, pushing, and pulling; and ability to reach, bend, stoop, handle objects, talk, hear, and see.

Nice To Haves

• Medical assistant certification preferred.

Responsibilities

• Process referrals submitted by health care providers in all referral queues.
• Complete the referral lifecycle, including submission, approval, patient notification, follow-up, and securing medical records within identified time periods.
• Follow insurance requirements and communicate with clinicians about clinical care needs related to referrals.
• Track and document referrals to promote team awareness and patient safety, including through an EHR database.
• Ensure patient registration is complete and accurate, including demographic and current insurance information.
• Assemble information about patients’ clinical backgrounds and referral needs and provide appropriate clinical information to specialists.
• Contact review organizations and insurance companies to meet prior-approval requirements; present relevant medical information such as history, diagnosis, and prognosis.
• Provide specific medical information to financial services to support reimbursement to the hospital and physicians.
• Review referral details and expectations with patients.
• Help patients address potential health care system, financial, or social barriers, including arranging interpreters, transportation services, or prescription assistance as appropriate.
• Serve as a system navigator and point of contact for patients and families; raise concerns and questions and, when needed, advocate with carriers for timely approval of necessary supplies or services.
• Identify and use cultural and community resources and establish and maintain relationships with service providers.
• Ensure referrals are addressed in a timely manner.
• Remind patients of scheduled appointments by mail or phone.
• Keep the patient’s primary care chart current with information about specialist consultations, hospitalizations, ER visits, and community organizations related to the patient’s health.
• Perform other duties as assigned, including related or necessary tasks directed by the Referral Supervisor to achieve organizational and programmatic goals.
• Adhere to the dress code and maintain a neat, clean appearance; protect patient confidentiality; report to work on time and as scheduled; and maintain regulatory compliance.
• Represent the organization professionally, follow organizational policies and ethical business standards, communicate its mission, ethics, and goals, and participate in performance and continuous quality improvement activities.
• Travel to other clinic locations as needed for cross-coverage support.