Referral Coordinator

Job Description

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Referral Coordinator

You will be the main point of contact for all referrals, and will be scheduling all of our new patients. Also, as a Referral Coordinator you will learn to thoroughly understand and comprehend different retinal diagnoses, and appropriately differentiate between emergent and non-emergent referrals. You will utilize a high level of customer service skills and phone etiquette to provide professional, and efficient service for our referring physicians and their patients.

Responsibilities & Duties

Answer all incoming calls from referring physicians and ensure their requests are fulfilled and questions answered as needed

Provide referring physicians data on referred patient exams as needed

Appropriately schedule all referred patients in a timely manner, based on diagnosis and urgency of the referral

Ensure complete patient demographics, insurance information, and appropriate clinical information is recorded in the chart

Ensure all outgoing referrals are submitted for approval with appropriate ICD and CPT codes as requested by insurance carriers

Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis to insurance carriers

Establish relationships with service providers and personnel

Point of contact for patients and referring provider for any questions or concerns

Assist in problem-solving potential issues related to referrals working under the guidance of the Clinic Manager

Responsible for scheduling and notifying patients of scheduled appointments via phone, email, mail

Responsible for calling referring providers’ offices to gather consultation notes

Responsible for scanning all documents and consultation notes in patient’s charts

Communicate with CRC doctors and Clinic Manager on any delay and / or issues regarding referrals

Review all incoming faxes in a timely manner regarding patient referrals

Facilitate clinical communications as needed

Listen and respond to patient’s and referring provider needs and provide guidance and information.

Schedule urgent appointments, based on necessity and acuity

Monitor, accurately document, and communicate patient condition as appropriate in the EMR system

Serve as backup for incoming phone calls if necessary due to high volume of calls

Full-time