The Referrals Coordinator is responsible for handling, monitoring and processing ordered referrals and transitions in an accurate and timely manner with follow-up as required. The position coordinates with all stakeholders in the referral process to ensure that patients receive timely and appropriate care and aim for higher patient satisfaction levels. The Referrals Coordinator also manages requests for patient information and records in compliance with statutory and regulatory requirements.

• Processing of medical referrals in a timely, coordinated manner and maintaining ongoing tracking and documentation
• Contacting review organizations and insurance companies to ensure prior approval requirements are met. Completion of service request (direct and prior authorization referrals) forms manually and/or through the EMR
• Ensuring complete and accurate registration, including patient demographic and current insurance information
• Communication of service requests to the relevant department for approvals
• Processing and communicating service requests to the specialty offices for processing and scheduling of patient appointments
• Notifying patients of scheduled appointments by phone, in person with appointment information or by mail and document in the patient’s chart
• Following up with specialist offices on pending/outstanding patient appointments, consult reports and documents in the patient’s chart
• Obtaining consult reports; completing and closing referrals in the patient's charts
• Re porting of referral problems to providers, supervisor and administrator for assistance, and resolution
• Processing Medical Records Requests in compliance with policies and regulations
• Contributing to quality care, customer satisfaction, compliance and membership growth at designated practice site
• Acting as point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns
• Establishing and maintaining relationships with identified service providers.
• Other duties as assigned
• Must be willing to work occasional overtime
• Must be willing to work occasional weekends

• Strong customer focus and customer service skills
• Good interpersonal and problem-solving skills

• Must have the ability to satisfactorily speak, read, write and understand English for effective communication
• Knowledge of Electronic Medical Record (EMR) and Practice Management (PM) systems are a plus
• Ability to establish and maintain positive and effective work relationships with healthcare services providers, coworkers and patients
• Ability to work effectively as part of the team
• Strong organizing, coordinating and multi-tasking abilities
• Strong follow-up skills

The employee is required to stand; walk; sitting for long periods of time and talking on the telephone throughout the day.

Job Type: Full-time

Pay: $14.00 - $16.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Overtime

Ability to commute/relocate:

• The Villages, FL 32159: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Insurance verification: 1 year (Required)
• Authorization Verification: 1 year (Required)

Work Location: One location

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