Referral Coordinator

Chesapeake Regional Healthcare; Elizabeth City (NC); On-site; USD 35,000 - 55,000; Full time

Job summary

Chesapeake Regional Healthcare is seeking a referral coordination professional to manage the flow of referrals to internal and external providers. The role requires scheduling, follow-up, and ensuring documentation is sent to the referring organization to support patient care.

The ideal candidate has at least two years in a medical office setting, with knowledge of insurance billing and referrals. The position supports a hospital environment and requires strong communication and customer

Qualifications

• Two years of medical office experience.
• Insurance billing and coding knowledge.
• Demonstrated knowledge of the insurance referral process.
• Basic understanding of medical terminology.
• Electronic medical record experience.
• Customer relations skills.

Responsibilities

• Sends referrals to internal and external providers per PCP direction.
• Schedules all incoming referrals and sends provider notes back to referring organization.
• Follows up to ensure patient attended or receives consult notes.
• Completes prior authorization paperwork for referrals requiring it.
• Assists with scheduling stat testing when needed, with manager approval.
• Answers incoming calls and assists with scheduling and registration tasks.

Skills

Medical office experience

Customer service

Communication

Organization

Education

High School Diploma

Tools

EMR systems

Job description

Summary

Sends referrals to internal and external providers or organizations as directed by the Primary Care Provider and follow up to ensure the patient attended if consult note is not received. Schedules all incoming referrals and send the provider note back to the referring provider or organization.

Summary

Sends referrals to internal and external providers or organizations as directed by the Primary Care Provider and follow up to ensure the patient attended if consult note is not received. Schedules all incoming referrals and send the provider note back to the referring provider or organization.

General Duties And Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis. Any other duties as needed to drive to the vision, fulfill the mission and abide by the organization's values.

• Attend required hospital-wide orientations, meetings, and in-services.
• Demonstrate a commitment to flexible work schedule/location when necessary to ensure patient care.
• Supports the hospital's mission to provide consistent, quality health care services by demonstrating respect for all patients, families, guests, fellow employees, and medical staff.
• Displays courtesy and sensitivity when interacting with customers, peers and others.
• Effectively relates any customer input regarding customer service to the appropriate person.
• Keeps patient and family members informed about patient care, always maintaining confidentiality.
• Assists all CRMG physicians with EMR troubleshooting.
• Assists PSR staff with insurance questions related to registration.
• Communicates effectively and professionally with patients, families and coworkers.
• Interacts with others in a positive, respectful and considerate manner.
• Promotes cost containment and efficient use of facility resources.
• Participates in continuing education and other learning experiences.
• Sends all outgoing referrals to specialists or testing.
• Follows up to ensure patient was scheduled.
• Closes the referral with attached specialist note or imagining ensuring patient compliance.
• Calls incoming referrals to schedule patient appointment.
• Ensures notes are sent to the referring organization.
• Completes any prior authorization paperwork for all referrals requiring it.
• Assists with scheduling stat testing, if the clinical staff member is unable, with manager approval.
• Assist with checking patients in and out.
• Answering incoming calls.
• Perform other duties as assigned.

Reporting Relationship

Reports to:

Office/Practice Manager

Qualifications And Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Required Education

• High School Diploma

Experience, Knowledge, And Skills

• At least two years of medical office experience.
• Insurance medical billing and coding knowledge.
• Demonstrated knowledge of insurance referral process.
• Basic understanding of medical terminology.
• Electronic medical record experience.
• Customer relations skills.