Testing and Outgoing Referral Representative

Cape Cod Orthopedics and Sports Medicine; Hyannis (MA); On-site; USD 36,000 - 60,000; Full time

Job summary

Cape Cod Orthopaedic and Sports Medicine in Hyannis, MA is looking for an Orthopedic Testing & Outgoing Referral coordinator. The role involves coordinating referrals, testing orders and communications between patients, orthopedic providers, diagnostic facilities and insurers.

You will schedule imaging and tests, verify orders, obtain necessary pre-authorizations, and document in the EMR system while upholding HIPAA standards.

Qualifications

• Minimum healthcare experience coordinating referrals or testing.
• Knowledge of insurance pre-authorizations and HIPAA compliance.
• Strong communication and organization skills.
• Experience with EMR systems and test orders.
• Ability to collaborate with physicians, assistants and staff.

Responsibilities

• Serve as a liaison between patients, providers, diagnostic facilities, and insurers.
• Communicate testing instructions and follow-up plans clearly to patients.
• Ensure timely submission of referral paperwork and track status.
• Schedule and coordinate diagnostic tests (MRIs, CTs, X-rays, bone scans, EMGs, ultrasounds).
• Obtain insurance pre-authorizations when required and ensure guidelines are followed.
• Enter referrals, test orders and results into the EMR and maintain confidentiality.

Skills

Orthopedic terminology

Diagnostic imaging familiarity

Communication

EMR proficiency

Insurance processes

Attention to detail

Tools

eClinicalWorks

Epic

Job description

Job Title: Orthopedic Testing & Outgoing Referral

Position Type: Non-Exempt, Full Time, Onsite

Location: Hyannis, MA

Cape Cod Orthopaedic and Sports Medicine (CCOSM) is a privately owned, growing practice with locations in Hyannis, Sandwich and Falmouth, Massachusetts. Our mission is to excel in all aspects of orthopedic, physical therapy, to ethically and professionally serve our patients, and to promote lasting recovery and health. We respect the dignity and diversity of all individuals and maintain a commitment to honesty, integrity, and unquestionable ethics in our interactions with patients, their families, our employees, other professionals and members of the community. We endeavor to establish and maintain a safe, accessible, and aesthetically pleasing environment of care that enhances the dignity of individuals and ensures the safety of patients, staff, and visitors.

Job Responsibilities:

Patient Coordination & Communication

• Serve as a liaison between patients, orthopedic providers, diagnostic facilities, and insurance companies.
• Communicate testing instructions, appointment details, and follow-up plans clearly to patients.
• Answer patient questions related to testing or referral processes.

Outgoing Referral Management

• Ensure timely submission of referral paperwork and documentation.
• Track referral status and follow up with providers to confirm patient appointments are scheduled.

Diagnostic Testing Coordination

• Schedule and coordinate diagnostic tests such as MRIs, CT scans, X-rays, bone scans, EMGs, or ultrasounds.
• Verify test orders with physicians and ensure the correct testing protocols are followed.
• Communicate with radiology/imaging centers to arrange appointments and ensure timely results.

Insurance & Authorization

• Obtain insurance pre-authorizations or approvals for tests and referrals when required.
• Ensure all procedures comply with insurance guidelines to avoid claim denials.
• Communicate with insurance companies regarding coverage, billing codes, and documentation needs.

Documentation & EMR Management

• Enter all referrals, test orders, results, and communication notes into the Electronic Medical Record (EMR) system accurately.
• Track and follow up on outstanding test results or referral reports.
• Maintain confidentiality and compliance with HIPAA regulations.

Team Collaboration

• Work closely with orthopedic surgeons, physician assistants, and medical assistants to ensure seamless patient care.
• Participate in staff meetings and workflow improvement initiatives.

Key Skills Required:

• Strong knowledge of orthopedic terminology and procedures
• Familiarity with diagnostic imaging processes
• Excellent communication and interpersonal skills
• Proficiency with EMR systems (eClinicalWorks/Epic)
• Understanding of medical insurance and referral processes
• Strong attention to detail and organizational skills

Employment is contingent upon on background check and drug screening.