Referral Coordinator

• Verify patient insurance eligibility for procedures and consultations
• Submit and track referral requests through pre-authorization channels
• Follow up weekly on pending referrals and communicate with external providers as needed
• Process and fax incoming/outgoing referral documentation
• Respond to referral-related calls and messages from the call center and clinic schedulers
• Manage email communications across multiple departments and document updates in EMR
• Work closely with team members in scheduling, billing, and the business office
• Participate in monthly bookkeeping meetings
• Provide general backup support to the Business Office
• Answer business office phone lines and assist with other tasks as assigned
• Help ensure timely, authorized care, reduce patient delays, improve provider workflows, and enhance the overall experience of care

• Manage patient referrals to specialists, external healthcare providers, and other service providers.
• Process, coordinate, prioritize, and follow up on patient referrals to ensure timely transitions of care.
• Identify referral-process issues and delays and implement solutions.
• Schedule specialist and external-provider appointments based on patient needs, insurance requirements, and provider availability.
• Maintain referral processes and workflows and implement improvements.
• Provide medical records, information, and referral documents to providers promptly.
• Verify insurance coverage and obtain required pre-authorizations.
• Develop relationships with external providers and specialists.
• Communicate referral status, appointment details, preparation instructions, and follow-up actions to patients.
• Address patient inquiries and concerns related to referrals.
• Document referral information in the EMR, including follow-up actions, appointment confirmations, and patient communication.
• Maintain referral records and report referral statuses.
• Ensure compliance with federal and state regulations, including HIPAA.