Referral Coordinator

Eisenhower Health; Rancho Mirage (CA); On-site; USD 28,000 - 41,000; Full time

Job summary

Eisenhower Health in Rancho Mirage, CA is seeking a front desk/referral coordinator to join the Renker Wellness Center team. You will coordinate patient referrals, review insurance referrals, and transcribe information into Epic, ensuring timely processing and accurate physician orders by collaborating with clinical staff.

The role requires a high school diploma or GED, at least one year in a clinical/ambulatory setting, and experience with electronic scheduling and insurance/HMO authorizations.

Qualifications

• Education: High school diploma or GED or higher (if hired after Mar 1, 2025).
• Experience: 1 year in a clinical/ambulatory care setting.
• Preferred: Experience with electronic scheduling and insurance/HMO authorizations.

Responsibilities

• Demonstrates compliance with Code of Conduct and policies; reports violations.
• Manages EMR referral work queues; facilitates appointments and referrals.
• Maintains relationships with clinics to ensure seamless referrals.

Skills

Front desk duties

Referral coordination

Patient communications

Education

High school diploma or GED

Tools

Epic EMR

Insurance authorizations

Job description

Default Work Shift:

Day (United States of America)

Hours:

40

Salary range:

$19.72 - $29.95

Schedule:

Full Time

Shift Hours:

8 Hour employee

Department:

Renker Wellness Center

Job Objective

Coordinates incoming patient referrals, including insurance referrals, and performs front office duties. Ensures all referrals are reviewed and transcribed into Epic; manages assigned work queue(s), including medical records requests, preparation of medical charts, returning phone calls and facilitating physician’s orders in conjunction with clinical staff.

Job Description

Education: Required: High school diploma, GED or higher level degree if hired after March 1, 2025 Licensure/Certification: N/A Experience: Required: One (1) year of experience in a clinical/ambulatory care setting Preferred: Experience with electronic scheduling and insurance/HMO authorizations

Reports To: Manager, Director or Chief Administrative Officer Supervises: N/A Ages of Patients: N/A Blood Borne Pathogens: Minimal/No Potential

Essential Responsibilities

1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations. 2. Manages clinic Electronic Medical Record (EMR) incoming/outgoing referral work queues; facilitates patient appointments or referral to intended clinic accordingly and in a timely manner. 3. Establishes and maintains an open and collaborative relationship with clinics and departments to facilitate a seamless referral process. 4. Answers all patient questions, requests and telephone/written correspondence timely and appropriately to ensure a positive experience. 5. Verifies accurate and complete patient, guarantor and insurance carrier information for billing and follow-up. 6. Submits required documentation to support treatment for referral completion; ensures insurance authorization is received timely. 7. Manages and organizes all outgoing documents sent to central Health Information Management (HIM) for scanning/indexing: ensures proper patient identification on each document and appropriateness of documents to be scanned. 8. Requests and obtains medical record data from referring offices and organizations, as needed. 9. Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured cash discount quotes for emergency and outpatient services; provides patient with receipt of payment, if applicable. 10. Coordinates with clinical staff to obtain medical records to submit to HMO insurance, if applicable. 11. Contacts patients to schedule annual Medicare wellness visits and annual HMO physicals in collaboration with nurse, if applicable. 12. Covers front desk duties; answers phones, retrieves voicemail messages and returns calls timely and appropriately, if applicable. 13. Performs other duties as assigned.