Referral Coordinator

Jobtailor; Deutschland; Vor Ort; EUR 42.000 - 65.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a Referral Management Specialist to support ambulatory clinics using Epic. You will receive, review, and process referrals from external providers, verify completeness, and assign ICD10 codes when needed.

You'll apply intake matrices to route referrals to the correct clinic, determine urgency, and maintain accurate referral records. Strong attention to detail and knowledge of medical terminology are essential to ensure timely, compliant patient access.

Qualifikationen

• Bachelor’s degree plus 2 years’ experience working in an ambulatory clinic.
• Associate’s degree plus 4 years’ experience working in an ambulatory clinic.
• High School diploma plus 6 years’ experience working in an ambulatory clinic.
• Knowledge of multiple Ambulatory workflows.
• Completion of a medical terminology course.
• Experience working in a centralized access center or medical referral management role.
• Experience supporting patient scheduling workflows.
• Appointment scheduling.
• Experience in various ambulatory clinics or knowledge thereof.
• Previous referral management experience.
• Epic electronic medical record experience in an ambulatory or access-focused workflow.
• Proven experience performing detailed, high-volume work requiring accuracy and independent judgment.

Aufgaben

• Receive, review, and process referrals using Epic and various sources.
• Validate referral completeness with required patient demographics and provider info.
• Interpret referral documentation containing medical terminology and urgency indicators.
• Review and enter diagnoses using ICD10 codes or free text when not provided.
• Apply intake matrices to route referrals to the correct clinic or department.
• Assess and assign referral priority levels (routine, urgent, emergent).

Kenntnisse

Epic Electronic Medical Record...

Referral Management Experience

ICD10 Diagnosis Code Interpretation

Medical Terminology Knowledge

Ambulatory Workflow Understanding

Ausbildung

Bachelor’s degree with ambulatory clinic experience

Associate’s degree with ambulatory clinic experience

High School diploma with ambulatory clinic experience

Tools

Epic System

Referral Documentation Tools

Jobbeschreibung

• Receive, review, and process incoming referrals and related documentation from external providers using Epic and various referral sources.
• Validate referral completeness, including required patient demographics, referring provider information, diagnoses and/or procedures, requested services, and supporting documentation (as needed).
• Interpret referral documentation containing medical terminology, diagnostic language, urgency indicators, and procedural requests.
• Review and enter diagnoses using ICD10 codes or approved free text selections when coded diagnoses are not provided.
• Apply established intake, diagnosis, and specialty specific referral matrices to determine appropriate clinic, specialty, diagnostic department, or program routing.
• Assess and assign referral priority levels (routine, urgent, emergent) based on referring provider documentation and intake standards.
• Create and manage referral records in Epic, ensuring accurate selection of referral type, department, location, and point of service.
• Attach referral documentation to the correct Epic referral, confirming accurate patient identification using required identifiers.
• Identify incomplete, misdirected, or inappropriate referrals and route them to the appropriate workflow for resolution, exercising independent judgment within established protocols.
• Communicate with referring providers, clinic staff, internal stakeholders and rarely patients to obtain missing clinical information, diagnoses, procedure, or demographic details required to complete referral intake.
• Clarify referral intent, urgency, or destination when documentation is unclear or conflicting.
• Document referral intake actions, decisions, and discrepancies using standardized Epic communication notes and documentation tools.
• Escalate complex referrals, routing uncertainties, access barriers, or potential safety concerns to supervisors or designated leads in accordance with department protocols.
• Support the centralized access model for referral intake and scheduled patient care, contributing to efficient coordination and timely access to services.
• Identify trends, workflow barriers, and quality concerns impacting referral accuracy, timeliness, or patient access.
• Report issues, challenges, and potential risks to leadership to support operational improvement and patient safety efforts.
• Participate in discussions related to optimizing intake workflows, referral accuracy, and Epic system performance.
• Participate in the review and recommendation of updates to intake, diagnosis, and referral matrices to ensure accurate routing and alignment with clinic criteria.
• Validate matrix accuracy related to diagnostic terminology, procedures, clinic restrictions, and specialty workflows in collaboration with leadership.
• Perform additional duties in support of Centralized Access Service operations as assigned.

Requirements

• Bachelor’s degree plus 2 years’ experience working in an ambulatory clinic, OR Associate’s degree plus 4 years’ experience working in an ambulatory clinic.
• High School diploma plus 6 years’ experience working in an ambulatory clinic.
• Knowledge of multiple Ambulatory workflows.
• Completion of a medical terminology course.
• Experience working in a centralized access center or medical referral management role.
• Experience supporting patient scheduling workflows.
• Appointment scheduling.
• Experience in various ambulatory clinics or knowledge thereof.
• Previous referral management experience.
• Epic electronic medical record experience in an ambulatory or access-focused workflow.
• Proven experience performing detailed, high-volume work requiring accuracy and independent judgment.
• Demonstrated experience reviewing, interpreting, and processing medical documents, with the ability to identify document types, understand their purpose, and route them appropriately.
• Experience managing or processing referrals across multiple clinics or services.
• Experience working at a systems level while performing detailed, task focused work.
• Demonstrated interpersonal, communication, and problem-solving skills.
• Working knowledge of medical terminology, diagnoses, procedures, and diagnostic testing.
• Ability to interpret ICD10 diagnosis codes and clinical referral documentation.
• Proficiency in Epic referral workflows, including referral creation, appointment requests, diagnosis entry, documentation, and attachment management.
• Understanding of ambulatory specialty clinic structures and diagnostic referral workflows.
• Knowledge of patient identification standards, confidentiality requirements, and HIPAA regulations.
• Ability to manage competing priorities in a high-volume environment while maintaining accuracy and compliance.
• Excellent verbal and written communication skills.
• Commitment to patient-centered access, service excellence, and equitable care delivery.

Core Competencies

Demonstrates expertise in managing referrals within an ambulatory clinic setting, utilizing Epic for accurate documentation and workflow management. Proficient in medical terminology, ICD10 coding, and patient scheduling to ensure efficient and compliant referral processes.

Highest-signal resume keywords

• Epic Electronic Medical Record Experience
• Referral Management Experience
• ICD10 Diagnosis Code Interpretation
• Medical Terminology Knowledge
• Ambulatory Workflow Understanding

ATS Optimization Keywords

Hard Skills

• Referral Processing
• Appointment Scheduling
• Document Review and Interpretation
• Referral Record Management
• Patient Identification Standards
• Diagnostic Referral Workflow
• High-Volume Work Accuracy
• Referral Priority Assessment
• Matrix Validation
• Confidentiality Compliance

Soft Skills

• Interpersonal Skills
• Communication Skills
• Problem-Solving Skills
• Independent Judgment
• Ability to Manage Competing Priorities

Certifications & Qualifications

• Medical Terminology Course Completion

Industry Keywords

• Ambulatory Clinic
• Centralized Access Center
• Patient-Centered Access
• Service Excellence
• HIPAA Regulations

Tools & Technologies

• Epic System
• Referral Documentation Tools