Referral Coordinator

Paycom; San Antonio (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

Paycom is seeking a Referral Coordinator to streamline referrals and ensure timely access to specialty care. You will verify insurance, coordinate appointments with specialists, and act as the main contact for referred patients, addressing inquiries promptly and professionally.

The role requires strong organizational and communication skills, knowledge of medical terminology, and proficient computer skills to maintain accurate records and support clinic operations.

Qualifications

• Excellent written and verbal communication skills.
• Ability to multi-task and prioritize in a clinical setting.
• Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.
• Strong computer skills and familiarity with clinic software.

Responsibilities

• Receive and review referral requests from PCPs and other providers.
• Verify insurance and eligibility for referred patients.
• Coordinate and schedule appointments with specialist providers.
• Communicate appointment details and patient instructions.
• Educate patients on the referral process and assist with paperwork.
• Maintain electronic records of referrals and authorizations.
• Prepare reports for clinic management and ensure regulatory compliance.
• Perform light data entry and other duties as assigned.

Skills

Strong communication

Organizational skills

Medical terminology

Technical proficiency

Education

High School diploma or GED

Job description

Position purposeThe Referral Coordinator plays a crucial role in facilitating the referral process, ensuring that patients receive timely access to specialty care and services. This position requires excellent organizational and communication skills, as well as strong commitment to patient satisfactionResponsibilities/Duties/Functions/Tasks:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Referral Management:Receive and review referral requests from primary care physicians and other healthcare providers via fax and referral software management systems (ie: Leading Reach)Verify insurance and eligibility information for referred patients.Ensure that all referral documentation is complete and accurate.Coordination and Scheduling:Coordinate and schedule appointments for referred patients with our specialist providers.Communicate appointment details and instructions to patients, including any necessary preparations.Patient Communication:Act as the primary point of contact for referred patients, addressing their inquiries and concerns promptly and professionally.Educate patients on the referral process and assist with any required paperwork.Documentation and Record Keeping:Maintain accurate and organized electronic records of referrals, authorizations, and patient interactions.Maintain communication with referring providers regarding status of referralsPrepare and submit necessary reports to clinic management.Quality Assurance:Ensure that all referral processes adhere to clinic policies and regulatory guidelines.Continuously assess and improve referral coordination procedures for maximum efficiency and patient satisfaction.Light data entry and other related office duties.Other duties as assigned.QualificationsEducation: High School diploma or GED.Experience: Minimum of two (2) years of pre-certification experience required.Requirements for Level I Status:Entry level (1-4 years’ experience) and/or meet the basic requirements of the job with the need for additional supervision.Excess of 4 years’ experience if meeting only the basic requirements of the job with need for additional supervision.Additional Qualifications: Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.Performance Requirements:Excellent communication skills, both written and verbal.Proficient technical (computer) skills.Ability to multi-task and prioritize.Self-motivated with initiative.Strong sense of ethics.