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Referral Coordinator

Job Details

High School

Description

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES (including, but not limited to): 

  • Prioritize referrals according to level of urgency, schedules patient appointments as necessary and communicates referral information to patients. 

  • All STAT and ASAP referrals are processed within one business day.  Routine referrals should be processed within 3 business days, routine screening consult within 5 business days. 

  • Follow up on any specialty/provider which has not sent summaries/reports to office. 

  • Ensure complete and accurate registration, including patient demographic, current insurance information. 

  • Assemble information concerning patient’s clinical background and referral needs.  Per referral guidelines, provide appropriate clinical information to specialty. 

  • Maintain referrals tracking system and up to date referrals appropriate documentation of referrals to promote team awareness. 

  • Patients are notified verbally and given/sent written confirmation regarding their appointment time, location, special instructions. 

  • Coordinate appointments as needed with outside facilities and specialist. 

  • Follow up on prior authorizations is performed at least weekly and notes made in the referral notes section. 

  • Follow up on pending referrals on a daily basis. 

  • Provides a standard of excellence as it relates to customer service and satisfaction for all customers. 

  • Communicates with all stakeholders, staff, providers, payers and patients as appropriate. 

  • Performs other duties as required. 

Qualifications

High School diploma or equivalent required.

Up to one (1) year of relevant work experience required.

Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.

Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus.

.A valid driver's license in State of employment is required; position may require travel within the market.

 1 year (Preferred)Customer Service: 

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