Referral Coordinator

• Review incoming referrals processed through AI-assisted technologies
• Verify patient demographics, insurance coverage, provider information, diagnosis details, and supporting clinical documentation
• Compare extracted information against source documents to ensure accuracy
• Classify referral documentation according to established workflow standards
• Identify incomplete, conflicting, duplicate, or inaccurate information
• Confirm referrals contain the information required for authorization and scheduling activities
• Recognize missing clinical documentation and payer-specific requirements
• Resolve routine discrepancies and escalate complex issues when appropriate
• Partner with providers, clinical teams, and internal departments to obtain missing information
• Prepare referrals for smooth progression into the authorization process
• Apply independent judgment when reviewing AI-generated information
• Maintain high levels of accuracy while meeting productivity standards
• Follow standardized review processes and quality expectations
• Identify recurring workflow, documentation, or technology challenges
• Contribute to process improvements and adoption of new technologies

Explore Referral Quality Coordinator at IVX Health. Review requirements and application details.