Referrals Coordinator

Primary Duties

• Assessment
  - Assesses the patient's plan of care based on the referral submitted and
  develops, implements, monitors and documents the utilization of community resources.
  Referrals Coordinator will assist the patient through their referral care by facilitating
  options and services in the community to meet the patient's health care
  needs.
• Coordination - Ensures all
  medical records, referral forms, and required documentation is complete and is
  submitted to the referral entity in a timely manner. Obtains referral authorization
  from insurance carriers and relays such authorizations (or denials) to the
  patient and the provider. Carry out
  provider orders, such as standing
  orders and referrals. Resolves all pre-authorization, registration, or
  other referral-related issues prior to a patient's appointment. Verifies that
  all pre-authorizations, registrations and other referral-related documents are
  completed in accordance with federal, state and local regulations. Maintain
  tracking system for patients scheduled appointments and two-way communication
  between the PCP, specialists, and/or other providers.
• Monitoring - Medical Case Prioritizes
  workflow and maintains appropriate work volume according to established
  procedures. Responds to incoming faxes
  and telephone calls regarding pending referrals, including timely response to
  voice mail messages. Ensures accurate
  and timely communication with patients, providers, and other staff. Maintains updated referral resources. Performs other duties including but not
  limited to: receiving patient documents and updating referrals, composing and
  typing general correspondence using correct medical terminology, using office
  equipment such as copier, fax machine, and computers. Maintains a clean, safe
  and orderly environment.

Qualifications

Experience

• Three
  (3) years of experience in the field related to medical or health care, one (1)
  year experience of which was directly related to the referral process. Education
  or Experience may be substituted. Experience with EHR preferred (not required).

Education

• Associate
  degree from an accredited university.
• CPR
  Certified