Referral Coordinator

Goshen Medical Center; Jacksonville (NC); On-site; USD 38,000 - 52,000; Full time

Job summary

Goshen Medical Center seeks an administrative clinician support to manage referrals from initiation to completion. You will coordinate scheduling with providers and clinics, verify patient demographics and insurance details, and ensure timely communication across referral sources and EMR notes.

The role requires strong written and verbal communication, medical terminology knowledge, and the ability to handle multiple tasks while assisting patients with barriers such as interpreters or

Qualifications

• Two years of medical experience required.
• Effective verbal and written communication skills.
• Strong working knowledge of medical terminology.
• Must be organized and able to manage multiple priorities.
• Ability to take and follow through with delegated tasks and accountability.
• Electronic medical record experience preferred.
• High school diploma or GED with two years of related experience.

Responsibilities

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

Skills

Patient-focused

Communication skills

Medical terminology

Organizational skills

Task delegation

EMR experience

Education

High school diploma or GED

Two years related experience

Tools

EMR software

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.