Referral Operations Specialist

Goshen Medical Center

Fayetteville (NC)

On-site

USD 36,000 - 52,000

Full time

10 days ago
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Job summary

Goshen Medical Center is seeking a Referral Coordinator to perform a range of administrative clinical duties, including referrals, insurance authorizations, and scheduling. You will interact with providers, staff, and referral sources to ensure accurate information and timely processing.

The role requires two years of medical experience, excellent communication, and proficiency with EMR systems. A high school diploma or GED and CNA/CMA/MOA credentials are preferred.

Qualifications

  • Two years of medical experience.
  • Excellent verbal and written communication skills.
  • Strong working knowledge of medical terminology.
  • Highly organized with the ability to manage multiple priorities.
  • Ability to take and follow through with delegated tasks and accountability.
  • Electronic medical record experience, preferred.

Responsibilities

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

Skills

Patient focus
Verbal & written communication
Medical terminology
Organization
Accountability

Education

CNA/CMA/MOA
High school diploma or GED

Tools

EMR software

Job description

Goshen Medical Center is seeking a Referral Coordinator to perform a range of administrative clinical duties, including referrals, insurance authorizations, and scheduling. You will interact with providers, staff, and referral sources to ensure accurate information and timely processing.

The role requires two years of medical experience, excellent communication, and proficiency with EMR systems. A high school diploma or GED and CNA/CMA/MOA credentials are preferred.

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