Referral Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate with patients by evaluating, facilitating, planning, and advocating for their unique health requirements.

• Monitor referrals and maintain accurate documentation to enhance team awareness and ensure patient safety.

• Conduct precise patient registration, which includes gathering demographic data and current insurance details.

• Compile clinical histories and referral needs, providing relevant clinical information to specialists.

• Communicate with review organizations and insurance providers to fulfill prior-approval criteria.

• Present medical details such as patient history, diagnosis, and prognosis.

• Supply medical information to financial services to optimize reimbursement for hospitals and physicians.

• Discuss referral specifics and expectations with patients.

• Assist patients in overcoming healthcare-system, financial, and social obstacles, including access to interpreters, transportation, and prescription support.

• Act as a system navigator and primary contact for patients and their families.

• Advocate with insurers for prompt approval of necessary patient supplies and services.

• Identify and leverage cultural and community resources.

• Build and maintain relationships with service providers.

• Ensure timely processing of referrals and remind patients of their appointments through mail or phone.

• Update primary care charts with specialist consultations, hospital admissions, emergency room visits, and pertinent community organizations.

• Adhere to the Code of Conduct and HIPAA regulations.

⛳️ Requirements

• High school diploma, sometimes combined with certification as a medical assistant.

• Strong focus on customer service.

• Excellent verbal and written communication abilities.

• Orientation towards teamwork.

• Well-organized and capable of managing competing priorities.

• Good judgment skills.

• Resourceful in problem-solving situations.

• Ability to take responsibility for delegated tasks and follow through on them.

• Bilingual skills are preferred (English/Spanish).

• Must have authorization to work in the U.S.; the employer participates in E-Verify.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and growth.

• Supportive work environment focused on teamwork and collaboration.