Referral Coordinator

MyCare Medical Group; Plantation (FL); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

Life insurance

401(k) Retirement Plan

Health Advocacy

Job summary

MyCare Medical Group is seeking a Referral Coordinator to manage the referral process for patients requiring non-primary care appointments. The role ensures smooth coordination between patients, providers, and payers, while complying with HIPAA and maintaining confidentiality.

Responsibilities include scheduling, authorizing referrals when required, and tracking referrals to meet regional utilization goals.

Qualifications

• High school diploma or GED equivalent.
• Two years of experience as a Referral Coordinator in a Primary Care setting, medical office environment or healthcare position.

Responsibilities

• Process patients’ referrals and ensure that patients are scheduled for their recommended non-PCP appointments.
• Liaise between Medicare patients/offices and providers, processing, monitoring and communicating all aspects of referrals.
• Maintain list of all preferred specialists and ancillary providers for the assigned area.
• Obtain referral authorizations if required by the health plan.
• Call the referred Specialists and schedule appointments for patients.
• Communicate respectfully and effectively with patients regarding appointments.
• Follow guidelines/workflows to complete and log all referrals processed through system.
• Meet monthly/quarterly goals regarding utilization and process of ordered referrals.
• Maintain confidentiality; adhere to HIPAA guidelines/regulations.
• Assist with coordination of activities related to insurance pre-certification/authorization.
• Other duties as assigned

Skills

Referral coordination

Medical office experience

HIPAA compliance

Education

High school diploma or GED

Job description

The Referral Coordinator will be responsible for preparing and processing all managed care referral paperwork. They will manage the process of scheduling patients for exams and procedures with specialists and providers outside of the primary care physician's office. This group is looking for someone who is interested in being part of a dynamic team that focuses on excellent service to others while handling clerical, environmental, and organizational tasks.

Job Responsibilities

• Process patients’ referrals and ensure that patients are scheduled for their recommended non-PCP appointments
• Liaise between Medicare patients/offices and the providers, making sure to effectively process, monitor and communicate all aspects of the patients’ referrals
• Maintain list of all preferred specialists and ancillary providers for the assigned area
• Obtain referral authorizations if required by the health plan
• Call the referred Specialists and schedule appointment for patients
• Communicate respectfully and effectively with patients regarding appointments
• Follow guidelines/workflows to complete & log all referrals processed through system
• Meet monthly/quarterly goals regarding utilization and process of ordered referrals
• Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
• Assist with coordination of activities related to insurance pre-certification/authorization
• Other duties as assigned

Job Qualifications

• High school diploma or GED equivalent
• Two (2) years of experience as a Referral Coordinator in a Primary Care setting, experience within a medical office environment or in a healthcare position; i.e. Front Office Receptionist, Medical Assistant and/or Referral Coordinator

BENEFITS

• Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
  • FSA and Life Assistance Program (EAP)
  • 401(k) Retirement Plan
  • Health Advocacy, Travel Assistance, and My Secure Advantage