Referral Coordinator
Job Description
REQUIREMENTS
- General knowledge of medical insurance processes
- Knowledge of medical terminology, CPT & ICD codes
- Ability to communicate effectively, both written and orally
- Excellent customer service skills
- Ability to cross train in other areas of practice in order to achieve smooth flow of operations
- Good organizational skills with the ability to adapt to medical situations
- Ability to handle patient and organizational information in a confidential manner
- Ability to work in an environment of continuous change
- Ability to manage priorities and work under deadlines
- Speaks and understand the English language
- High School Diploma or GED
RESPONSIBILITIES
- Act as a dependable point of contact for patients, providing clear and timely referral communication
- Ensure transparency in referral and authorization processes
- Follow referrals through completion to support continuity of care
- Maintain accuracy, confidentiality, and professionalism in all interactions
- Collaborate effectively with providers, specialists, and insurance representatives
- Proactively resolve referral and scheduling issues to prevent care delays
- Ensure all referrals, authorizations, and documentation are completed accurately and on time
- Maintain high attention to detail to prevent errors, denials, or delays in patient care
- Monitor referral workflows proactively to ensure timely completion and loop closure
- Continuously follow up on pending referrals, appointments, and consultation notes
- Adhere to best practices, payer guidelines, and organizational standards
- Identify opportunities to improve referral processes and patient experience
- Identify and support improvements to referral and authorization workflows to enhance efficiency and patient access
- Utilize EPIC systems and technology to streamline referral tracking and documentation
- Adapt to new processes, tools, and payer requirements to support organizational initiatives
- Assist with implementation of workflow enhancements and best practices
- Analyze referral issues and trends to help reduce delays and denials
- Contribute ideas that improve referral coordination and patient experience
- Build strong, trusting relationships with patients by providing clear, compassionate guidance on referrals and appointments
- Maintain regular communication with providers, specialists, and internal teams to ensure seamless coordination of care
- Serve as a reliable point of contact for patients, answering questions and addressing concerns promptly
- Collaborate with colleagues across departments to share information and support patient-centered care
- Follow up with patients after appointments to ensure satisfaction and completion of referral care
- Advocate for patients to minimize barriers and enhance their overall healthcare experience
Are you interested in this position?
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