Referral Coordinator Clinic

Trinity Health

Minot (ND)

On-site

USD 42,000 - 56,000

Full time

12 days ago
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Job summary

The Trinity Health Referral Coordinator Clinic supports ambulatory practices by managing referrals and authorizations to ensure timely specialty care. This role processes internal and external referrals, verifies insurance requirements, secures authorizations, and coordinates transfer of medical information to specialty providers.

Working with clinic staff, providers, and external offices, the Coordinator monitors progress, communicates updates to patients and clinicians, and supports payer

Qualifications

  • Strong organizational and communication abilities are essential.
  • Experience coordinating referrals or payer communications is preferred.
  • Ability to handle sensitive patient information with HIPAA compliance.

Responsibilities

  • Receive, document, and process referral requests within clinic workflows.
  • Verify insurance eligibility and obtain required pre-certifications or authorizations.
  • Coordinate referral appointments with specialists and transfer necessary medical records.
  • Track referral and authorization statuses and follow up on pending items.
  • Communicate with clinicians, patients, and payers to resolve issues and clarify requirements.
  • Maintain accurate documentation and generate routine reports on referral activity.

Skills

Attention to detail
Communication
Organization
Interpersonal skills
Time management
Multitasking
Teamwork

Tools

EMR Systems

Job description

Position Summary

The Referral Coordinator Clinic supports Trinity Health's ambulatory practices by managing all aspects of the referral and authorization process to help ensure patients receive timely and appropriate specialty care. This role processes internal and external referrals, verifies insurance requirements, secures authorizations, and coordinates the transfer of medical information to specialty providers. Working closely with clinic staff, providers, and external offices, the Coordinator monitors referral progress, communicates updates to patients and clinicians, and supports compliance with payer guidelines and organizational standards. The position functions within a collaborative, patient-focused environment where organization, teamwork, and clear communication are essential. Through accurate documentation and proactive follow-up, the Referral Coordinator Clinic promotes continuity of care and a smooth, well-coordinated patient experience.

Position Summary

The Referral Coordinator Clinic supports Trinity Health's ambulatory practices by managing all aspects of the referral and authorization process to help ensure patients receive timely and appropriate specialty care. This role processes internal and external referrals, verifies insurance requirements, secures authorizations, and coordinates the transfer of medical information to specialty providers. Working closely with clinic staff, providers, and external offices, the Coordinator monitors referral progress, communicates updates to patients and clinicians, and supports compliance with payer guidelines and organizational standards. The position functions within a collaborative, patient-focused environment where organization, teamwork, and clear communication are essential. Through accurate documentation and proactive follow-up, the Referral Coordinator Clinic promotes continuity of care and a smooth, well-coordinated patient experience.

Key Responsibilities
  • Receive, document, and process referral requests, ensuring accurate entry and routing within established clinic and payer workflows.
  • Verify insurance eligibility and benefits, obtain required pre certifications or authorizations, and communicate with patients to collect needed information.
  • Coordinate referral appointments with specialists or external providers, sending necessary medical records and updating patients on next steps.
  • Track referral and authorization statuses in designated systems, follow up on pending items, and escalat... delays or coverage concerns to the clinic manager or clinical team.
  • Communicate effectively with clinicians, patients, and payer representatives to resolve issues, clarify requirements, and support care coordination.
  • Maintain accurate documentation and prepare routine reports related to referral activity, authorizations, and outstanding items.
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