Referral Coordinator

Goshen Medical Center; Fayetteville (NC); Presencial; USD 36.000 - 52.000; Jornada completa

Descripción de la vacante

Goshen Medical Center is seeking a Referral Coordinator to perform a range of administrative clinical duties, including referrals, insurance authorizations, and scheduling. You will interact with providers, staff, and referral sources to ensure accurate information and timely processing.

The role requires two years of medical experience, excellent communication, and proficiency with EMR systems. A high school diploma or GED and CNA/CMA/MOA credentials are preferred.

Formación

• Two years of medical experience.
• Excellent verbal and written communication skills.
• Strong working knowledge of medical terminology.
• Highly organized with the ability to manage multiple priorities.
• Ability to take and follow through with delegated tasks and accountability.
• Electronic medical record experience, preferred.

Responsabilidades

• Initiate diagnostic and routine referrals.
• Track, coordinate, and communicate patient referrals to providers and staff.
• Notify providers of delays in referral scheduling.
• Ensure complete patient referral information including demographics and insurance.
• Serve as point person in referral evaluation for scheduling and internal communications.
• Coordinate third-party communications including pre-authorizations.
• Assemble referral information with patient clinical background and needs.
• Contact insurance companies to verify benefits and prior authorization requirements.
• Review referral details with patients and explain expectations.
• Assist patients with financial or social barriers (interpreters, transportation, etc).
• Ensure referrals are addressed timely per policy.
• Communicate with referral sources to complete patient referrals and EMR notes.

Conocimientos

Patient focus

Verbal & written communication

Medical terminology

Organization

Accountability

Educación

CNA/CMA/MOA

High school diploma or GED

Herramientas

EMR software

Descripción del empleo

Qualifications

• Computer Skills
• CNA/CMA/MOA

Job Description

Referral Coordinator

Job Summary: Performs a wide range of administrative clinical duties to include referral processing; insurance authorizations; referral patient appointment scheduling; communication with providers and clinical staff; communication with referral sources and other tasks as assigned.

Essential Functions

• Responsible for initiating diagnostic and routine referrals.
• Responsible for tracking, coordinating, and communicating patient referrals to providers, clinical staff, and patient(s).
• Responsible for communicating any delays in referral scheduling to provider.
• Ensures complete and accurate patient referral information, including demographics and current insurance information, is communicated to referral sources.
• Serves as point person in the referral evaluation process to include patient scheduling, and internal communications.
• Serves as point person for third party communications, including prior authorizations.
• Assembles referral information concerning patient’s clinical background and referral needs.
• Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met.
• Reviews details and expectation(s) of referral with the patient.
• Assists patient to problem solve potential issues related to financial or social barriers, ie. interpreters, transportation, etc.
• Ensures that referrals are addressed in a timely manner per Goshen Medical Center’s policy.
• Communication with referral source to ensure patient referral is complete.
• Communicates with referral source(s) to complete the patient’s referral process by assuring patient attended scheduled appointment and that EMR contains notes from appointment.

Skills and Qualifications

• Strong patient focus with two (2) years of medical experience.
• Effective verbal and written communication skills.
• Strong working knowledge of medical terminology.
• Organized and able to manage multiple priorities.
• Able to take and follow through with delegated tasks and accountability.
• Electronic medical record experience, preferred.
• High school diploma or general education degree and two (2) years of related experience.

Physical Demands

• Frequently use hands to finger, handle, or feel and talk or hear.
• Occasionally required to stand, walk, sit, and reach with hands and arms.
• Occasionally lift and/or move up to 10 pounds.