Referral Coordinator

• Coordinate, place, and follow up on patient appointments from patients, physician offices, military, attorneys, and workers’ compensation sources
• Answer a multi-line phone system, prioritize calls, and triage cases under pressure
• Obtain and electronically input patient demographics
• Schedule appointments using electronic medical record systems and provide timely follow-up to patients and referral sources
• Maintain working relationships with physician offices to schedule difficult and same-day appointments
• Maintain accurate and organized clerical data while adhering to HIPAA regulations
• Electronically document referrals and track access statistics for monthly reports
• Obtain records for physician review and ensure equitable distribution of referrals to physicians
• Coordinate and schedule multiple appointments for out-of-town patients
• Work with physicians and staff to ensure correct referral protocols are followed
• Assist with operational and managerial support as needed

Referral Triage Coordinator

• Handle the intake process for orders for healthcare services
• Liaise between the company, patients, and health plans
• Verify patient information
• Verify insurance
• Process authorizations and referrals
• Obtain and release clinical documentation
• Respond to health plan inquiries
• Research and resolve patient accounts or escalate them for resolution

• Serve as the primary contact/resource person for patients, primary care physicians, and other healthcare service providers
• Answer and appropriately manage incoming telephone calls
• Verify benefits and services
• Schedule patient appointments
• Respond to patient information needs
• Work on new patient and existing patient referrals
• Verify insurance type and obtain proper authorization as needed
• Contact referring physicians to obtain referral forms
• Obtain additional documents as needed
• Record referrals in the computer
• Ensure new patient charts are complete
• Update co-payments in the computer
• Mail new patient packets
• Assist with front office duties as needed
• Perform other position-related duties as assigned
• Report suspected compliance concerns or violations to a supervisor or Compliance Department