Referral Coordinator

Goshen Medical Center; Handley Acres (NC); On-site; USD 36,000 - 48,000; Full time

Job summary

Goshen Medical Center is seeking an Administrative Clinical Assistant to support referral processing, insurance authorizations, patient scheduling, and provider communications. The role requires attention to detail and the ability to manage complex referral workflows in a fast-paced clinic environment.

Responsibilities include coordinating referrals, verifying benefits, and ensuring EMR notes are complete. Strong communication and medical terminology knowledge are essential for success.

Qualifications

• Two years of medical experience with a focus on referrals and scheduling.
• Strong communication skills, both verbal and written.
• Solid knowledge of medical terminology and processes.
• Ability to manage multiple priorities and tasks efficiently.
• EMR experience is preferred but not mandatory.

Responsibilities

• Initiate diagnostic and routine referrals accurately.
• Coordinate and communicate patient referrals to providers and staff.
• Notify providers of referral scheduling delays.
• Ensure complete patient referral information and insurance data.
• Serve as point person in the referral evaluation and scheduling process.
• Handle third party communications and prior authorizations.
• Assemble referral information including clinical background.
• Verify benefits and prior authorization requirements with insurers.
• Review referral details with patients and set expectations.
• Assist patients with financial or social barriers to access.
• Ensure timely referrals per policy and follow up with sources.
• Confirm referrals are complete and referrals are documented in EMR.

Skills

Medical terminology

Patient-focused

Verbal and written communication

Organization / multitasking

EMR experience (preferred)

Education

High school diploma or GED with 2 years related experience

Tools

EMR systems

Job description

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

1. 1. Responsible for initiating diagnostic and routine referrals.


2. 2. Responsible for tracking, coordinating, and communicating patient referrals to providers, clinical staff, and patient(s).


3. 3. Responsible for communicating any delays in referral scheduling to provider.


4. 4. Ensures complete and accurate patient referral information, including demographics and current insurance information, is communicated to referral sources.


5. 5. Serves as point person in the referral evaluation process to include patient scheduling, and internal communications.


6. 6. Serves as point person for third party communications, including prior authorizations.


7. 7. Assembles referral information concerning patient’s clinical background and referral needs.


8. 8. Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met.


9. 9. Reviews details and expectation(s) of referral with the patient.


10. 10. Assists patient to problem solve potential issues related to financial or social barriers, ie. interpreters, transportation, etc.


11. 11. Ensures that referrals are addressed in a timely manner per Goshen Medical Center’s policy.


12. 12. Communication with referral source to ensure patient referral is complete.


13. 13. 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

1. 1. Strong patient focus with two (2) years of medical experience.


2. 2. Effective verbal and written communication skills.


3. 3. Strong working knowledge of medical terminology.


4. 4. Organized and able to manage multiple priorities.


5. 5. Able to take and follow through with delegated tasks and accountability.


6. 6. Electronic medical record experience, preferred.


7. 7. High school diploma or general education degree and two (2) years of related experience.

Physical Demands

1. 1. Frequently use hands to finger, handle, or feel and talk or hear.


2. 2. Occasionally required to stand, walk, sit, and reach with hands and arms.


3. 3. Occasionally lift and/or move up to 10 pounds.