Referral Coordinator Job Description
Referral coordinator
provides routine interaction with Providers, and coding staff to assist with or resolve issues relating to medical record documentation and coding.
Referral Coordinator Duties & Responsibilities
To write an effective referral coordinator job description, begin by listing detailed duties, responsibilities and expectations. We have included referral coordinator job description templates that you can modify and use.
Sample responsibilities for this position include:
3 years Customer Service experience preferably in a call center setting Knowledge of medical terminology, appointment scheduling, or healthcare industry a plus Bilingual a plus
Maintain up-to-date knowledge of insurance plans and educate providers and staff
Generate specialty referrals for members as requested by primary care physicians
Create patient charts in NextGen and enter all information
Create a sleep patient file in sleep patient files
Confirm receipt of the referrals and inform the patient that schedules will be confirmed when the authorization is received
Obtain benefit / coverage information and authorization, if required
Call the insurance company and update authorizations for patients that did not meet lab guidelines to be split or met emergency split guidelines
Obtains clinical information required to request prior authorizations
Establish and maintain relationships with physicians, MA and office staff at Ridgeline
Referral Coordinator Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Referral Coordinator
List any licenses or certifications required by the position: MA, BLS, EMT, CPR, N.A.C, FIM, ABR, RMA, CMA, TB
Education for Referral Coordinator
Typically a job would require a certain level of education.
Employers hiring for the referral coordinator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Education, Associates, General Education, Healthcare, Medical, Business, Health, Nursing, Business/Administration, Medical Terminology
Skills for Referral Coordinator
Desired skills for referral coordinator include:
Medical terminology
ICD 10 and CPT coding
Insurance plans and educate providers and staff
Coding and medical terminology
Basic medical terminology
Grammar
Healthcare insurance benefit and terminology
Spelling
Medical terminology and ability to discern clinical and non-clinical service needs
HIPAA regulations
Desired experience for referral coordinator includes:
Hours of work will vary dependent on the needs of the referral sources
At least 1-3 years experience in healthcare related field
Establish trusting relationships with patients
Establish relationships with physicians and offices that Ridgeline refers patients to
Regular meetings with CRAH business development team to understand network integrity and referral relationships
Meet monthly network integrity goals that are established by the office
Referral Coordinator Examples
1
Referral Coordinator Job Description
Job Description Example
Our growing company is looking to fill the role of referral coordinator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for referral coordinator
- Determine which insurance providers are accepted through Coram and if we can accept a referral
- Primary duties include authorization submission, error correction and insurance submission knowledge and rules for securing authorizations
- Admissions/General In Patient/Symptom Management admissions -Performs admission assessments for new admissions into the CCHS hospitals and documents information in the electronic medical record within specified time frame
- Visiting referring veterinarians and updating them on our services and specialists
- Creating marketing material
- Act as a liaison between the referral community and our hospitals
- Planning continuing education seminars and events
- Developing novel ways to reach the referring community
- Entering and analyzing referral data
- Photographing hospital staff and equipment
Qualifications for referral coordinator
- Committed to the organization to do what is necessary to have a successful Referral Management Program
- Ability to conform to established policies and procedures
- College degree or equivalent required, healthcare field preferred
- Previous medical billing office experience in a hospital or clinic environment required
- Previous experience working with a mainframe database claims processing/billing system
- Excellent customer service, telephone presentation and problem solving skills
2
Referral Coordinator Job Description
Job Description Example
Our innovative and growing company is hiring for a referral coordinator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for referral coordinator
- Provides excellent customer service to both internal and external customers of the RMO
- Responsible for some operational needs of the office, including but not limited to ordering supplies
- Reviews referrals to determine if insurance authorization has been obtained.If no authorization, returns referral to referring provider’s office via electronic medical record system
- Identifies, by applying knowledge of provider sub-specialties, the appropriate provider with whom to make an appointment
- Schedules required ancillary services needed to prepare for appointment
- Explains whether provider participates in patient’s insurance and if not, describes options for payment
- Conveys instructions to patients for appointment by applying the appropriate protocol
- Initiate and complete referral shells in MiChart within prescribed guidelines
- Submit outpatient insurance information corrections when registration information results in not correct
- Verify and update patient demographic and financial information as needed
Qualifications for referral coordinator
- Ability to prioritize work in a high volume demanding environment
- Demonstrated knowledge of and working experience in managed care insurance referral processes
- Knowledge of third party reimbursement, CPT and ICD-9 codes
- Cooperates and promotes team building
- Demonstrates self-motivation and flexibility
- Demonstrates behaviors that support the UW Medicine Patient’s Are First Service Culture Guidelines
3
Referral Coordinator Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of referral coordinator. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for referral coordinator
- Schedules all new patient appointment referrals notifies the referring physician of when their patients have their appointments
- Organizes and collects data for St
- Inputs and corrects clinic dictations into the electronic health record
- Schedules outgoing referrals and radiology appointments
- Compose and print OP H & Ps and OP reports for physician’s approval and signature
- Scheduling and confirming patient appointments
- Calling for referral paperwork
- Faxing and or mailing documents
- Making follow up phone calls to clients and RDVMs
- Assisting with marketing agendas including setting up marketing materials and mailings, photocopying, and dropping materials off at RDVM offices
Qualifications for referral coordinator
- Ability to deal with interpersonal conflict with a mature attitude
- If you or someone know is interested in this opportunity, please send a resume to katy.tai@randstadusa.com
- Insurance knowledge, Insurance Portal and MiChart Process for securing authorizations
- Knowledge of the veterinary industry and terminology
- Must be a High School Graduate/ or G.E.D or equivalent
- Must have reliable transportation and a valid California driver’s license and car insurance
4
Referral Coordinator Job Description
Job Description Example
Our company is looking to fill the role of referral coordinator. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for referral coordinator
- Assists with client newsletter
- May be asked to file, and assist the front desk during busy timesThe candidate will have at least one year experience working in a veterinary office, have a pleasant demeanor, be resourceful and behave with professional comportment
- Notifies the HCP either verbally or by using the message function in the electronic health record that attempts are being made to locate the results/reports
- Obtain authorization with third party insurance companies for referrals to specialists, diagnostic testing and surgeries
- Verify insurance coverage and authorization requirements for referral orders
- Provide specialists office with medical records of primary care
- Monitor all assigned work queues and processes ensure that referrals and authorizations are responded to in a timely manner
- Ensure all information and conversations regarding patients are secured from general public access
- Recording patient interview and history notes
- Provide room set up and clearing
Qualifications for referral coordinator
- Organized, flexible, attention to detail
- Business decorum and appearance
- Supportive of team concept
- Under the direction of the Medical Director and Sr
- Normal hearing and vision capabilities required
- Ability to view and type on computer screens for long periods of time
5
Referral Coordinator Job Description
Job Description Example
Our growing company is looking for a referral coordinator. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for referral coordinator
- Dispose of biohazard waste according to OSHA standards
- Practice OSHA safety standards
- Receive incoming listing/selling referrals from RMC’s, Brokers and Local and National Companies
- Call the listing/selling referral customer, collect information on their real estate needs, provide any special information on area(s) of interest, housing and neighborhoods
- Place the listing/selling referral with the local Howard Hanna Office Manager for Sales Associate assignment
- Communicate referrals fees to Managers and Sales Associates
- Communicate the referral to our core services … mortgage, insurance, retail alliance service partners (if applicable)
- Cross-sell interoffice and outgoing referrals (if applicable)
- Enter transferee and referral information into eRelocation, Profit Power, RMC dashboards, LeadingRE data systems (where applicable)
- Organize and maintain referral agreements with various RMC’s and Brokers (when applicable)
Qualifications for referral coordinator
- Medical Assistant certification through AAMA, AMT (certification as an RMA), National Center for Competency Testing or a comparable certification body
- Receive updates from our Sales Associates and forward that information onto the referring Company and visa versa
- Work with Relocation Operations Manager regarding any concerns on the listing/selling referral
- Coordinate and assist with referral fee payments with Accounting
- Various other responsibilities as assigned by the Relocation Operations Manager
- General knowledge of the local Cities and Neighborhoods and Howard Hanna Offices