The Referral Coordinator plays a crucial role in facilitating and managing the referral process,
ensuring patients receive appropriate care and services. The successful candidate will have excellent communication skills, strong attention to detail, and the ability to collaborate effectively with various healthcare professionals.
DUTIES AND RESPONSIBILITIES
- Referral Management: Coordinate the referral process for patients, ensuring timely and accurate communication between healthcare providers, patients, and insurance companies.
- Patient Assessment: Review referral requests, medical records, and other relevant information to assess the appropriateness of referrals and determine necessary actions.
- Communication and Coordination: Interact with healthcare providers, specialists, and other participants to obtain necessary information, clarify referral details, and ensure smooth care transitions.
- Insurance Verification: Verify insurance coverage and obtain any required authorizations or precertifications for referred services or procedures.
- Appointment Scheduling: Schedule appointments for patients with referred providers, ensuring compatibility with patient preferences, provider availability, and urgency of care.
- Documentation and Record-Keeping: Maintain accurate and up-to-date records of referrals, including relevant clinical information, referral status, and follow-up actions taken.
- Follow-up and Tracking: Monitor the progress of referrals and follow up with patients and providers to ensure timely completion of appointments and services.
- Data Management: Compile and analyze referral data, generate reports, and identify trends or issues that require attention. Provide feedback and recommendations for process improvement.
- Patient Advocacy: Serve as a resource for patients, addressing their questions and concerns related to the referral process, insurance coverage, and other relevant matters.
- Compliance and Quality Assurance: Adhere to applicable regulations, policies, and quality standards related to referral management and ensure compliance with established protocols.
- Collaborate with various local organizations to build awareness of services and referral linkages.
- Respect all internal and external clients, customers, employees, management, and Board members at all times.
- Must carefully follow any rules and guidelines given by the management team to maintain Plexus Health's image. Always keep an open line of communication with management.
- Conduct actions with professionalism online and in person.
- Attend and successfully complete all required training programs; participate in ongoing conference calls, webinars, and other professional development opportunities.
- Accurately provide required reporting to track goal achievement and client satisfaction.
- Other duties as assigned related to activities for the health center and its related services.
- Must follow the chain of command when seeking approval for event actions, posting on social media, and website management.
QUALIFICATIONS
- High school diploma or GED.
- Must have computer knowledge, Microsoft Excel, and Word experience a must.
- Excellent telephone skills and etiquette.
- Able to multitask and to work well under pressure.
- Good writing skills.
- Ability to work accurately and efficiently.
- Warm outgoing personality.
- Desire to advocate and complete outreach tasks.
- Perform other duties as assigned.
Job Type: Full-time
Pay: $17.50 - $18.75 per hour
Benefits:
- Dental insurance
- Employee discount
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
Experience:
- Medical terminology: 2 years (Required)
- Referrals: 1 year (Required)
Work Location: In person