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Referral Coordinator
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Job Description
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Description
PRIMARY PURPOSE:
Managing the referral process efficiently to ensure patients and caregivers receive timely and appropriate specialist care. Plays a fundamental role in the healthcare system in facilitating seamless communication between patients, primary care providers, specialists and insurance companies.
ESSENTIAL JOB FUNCTIONS:
Referral Coordination:
- Managing patient referrals to specialists and other healthcare providers.
- Obtaining insurance authorization while verifying that the insurance is still active.
- Scheduling appointments, if needed, to coordinate patient visit care.
- Maintain accurate referral tracking and documentation for patient safety.
- Gather and provide relevant clinical background to specialists, per referral guidelines.
Insurance & Financial Navigation:
- Obtain insurance authorization if needed.
- Prompt follow-up on all referrals and track progress.
- Communicating with providers to close referral loops and ensure proper documentation.
- Update record to reflect completed referrals and outcomes.
Patient Support & Communication:
- Review referral details and expectations with patients.
Administrative & Compliance Duties:
- Ensure adherence to HIPAA confidentiality standards to protect patient information
- Follow healthcare regulations to maintain ethical and legal compliance.
- Implement best practices for secure communication and data handling.
- Stay updated on emerging professional information.
- Comply with all FoundCare policies and procedures.
Requirements
MINIMUM QUALIFICATIONS:
Education:
- College degree (preferred: Bachelor's in Health Services Administration or Health Science).
Experience:
- Minimum of one (1) year assisting patients with medical referrals.
- Type minimum of 30 words-per-minute.
- Proficiency in Microsoft Outlook, Word, and Excel.
- Referral experience with an electronic medical record (EMR) system is preferred.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
- Strong verbal and written communication.
- Excellent organization and time management.
- PC proficiency.
- Attention to detail.
- Ability to build rapport with patients, providers, and staff.
- Strong customer service orientation.
- Strong leadership and program management skills.
- Ability to multitask, work independently, and collaborate as part of a team.
- Ability to read, write, and effectively communicate in the English language, with or without the use of auxiliary aids or services.
- Ability to review, understand, and apply concepts presented in training programs, conferences, and/or professional literature.
- Educated on and compliant with HIPAA regulations; maintains strict confidentiality of client information.
- Ability to interact and work with diverse populations.
PHYSICAL REQUIREMENTS:
- Ability to endure short, intermittent, and/or long periods of sitting and/or standing in performance of job duties.
- Full range of body motion required. Position requires reaching, bending, and handling objects with hands and/or fingers, talking and/or hearing, and seeing.
- Ability to lift and carry objects weighing 25 pounds or less.
- Accomplish job duties using various types of equipment/supplies, e.g. pens, pencils, calculators, computer keyboard, telephone, etc.
- Ability to travel to other FoundCare locations and perform job duties.
- Ability to travel to other locations to attend meetings, workshops, and seminars, plus travel to other FoundCare departments and FoundCare conference rooms.
Salary Description
$21-$23/ per hour
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
