Referrals

Suncoast Community Health Centers Inc.; Ruskin (FL); On-site; USD 32,000 - 54,000; Full time

Job summary

Suncoast Community Health Centers Inc. is seeking a Referral Coordinator to manage patient referrals to internal and external specialists and services, ensuring timely submission of documentation and insurance authorizations.

You will coordinate with outside agencies to facilitate appointments and monitor progress through EHR systems. The role requires excellent communication, organizational skills, and the ability to work in a fast-paced healthcare environment.

Qualifications

• High School Diploma or equivalent is required.

Responsibilities

• Process patient referrals to internal and external specialists and services, ensuring timely and accurate submission of required documentation and insurance authorizations.
• Coordinate client referrals and communicate with outside agencies and providers to facilitate appointments and services.
• Track referral statuses and follow up with providers, patients, and external offices as needed to ensure timely completion.
• Maintain accurate and up-to-date referral records in both manual systems and the electronic health record (EHR) system.
• Instruct patients on referral procedures, providing clear information about timelines, required documentation, and follow-up actions.
• Collaborate with clinical and administrative staff to address referral-related inquiries and meet patient needs promptly.
• Identify and report issues in the referral process to the supervisor for corrective action.
• Ensure compliance with federal, state, and organizational policies related to referrals, including HIPAA privacy standards.
• Stay informed about changes in insurance policies, referral requirements, and provider networks to ensure smooth coordination.
• Assist with general office tasks, such as preparing reports on referral metrics, organizing documentation, and supporting team operations.
• Perform additional tasks as needed to support the centers.

Skills

Verbal communication

Written communication

Interpersonal skills

Customer service

Organizational skills

Attention to detail

Time management

Deadline driven

Analytical skills

Problem solving

Task prioritization

Delegation

Stress management

Office equipment

MS Office

EMR software

Education

High School Diploma or equivalent

Tools

EMR software

MS Office

Job description

REFERRALS

Duties/Responsibilities:

• Process patient referrals to internal and external specialists and services, ensuring timely and accurate submission of required documentation and insurance authorizations.
• Coordinate client referrals and communicate with outside agencies and providers to facilitate appointments and services.
• Track referral statuses and follow up with providers, patients, and external offices as needed to ensure timely completion.
• Maintain accurate and up-to-date referral records in both manual systems and the electronic health record (EHR) system.
• Instruct patients on referral procedures, providing clear information about timelines, required documentation, and follow-up actions.
• Collaborate with clinical and administrative staff to address referral-related inquiries and meet patient needs promptly.
• Identify and report issues in the referral process to the supervisor for corrective action.
• Ensure compliance with federal, state, and organizational policies related to referrals, including HIPAA privacy standards.
• Stay informed about changes in insurance policies, referral requirements, and provider networks to ensure smooth coordination.
• Assist with general office tasks, such as preparing reports on referral metrics, organizing documentation, and supporting team operations.
• Perform additional tasks as needed to support the centers.

Required Skills/Abilities:

• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Ability to prioritize tasks and to delegate them when appropriate.
• Ability to function well in a high-paced and at times stressful environment.
• Ability to use office equipment, including computers, copy machines, fax machines, telephones, calculators, and more.
• Proficient with Microsoft Office Suite, Electronic Medical Records (EMR) and related software.

Education and Experience:

• High School Diploma or equivalent is required.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.
• Must be able to travel to various center locations as required.