Referral Coordinator/ Medical Records

Job Summary:  

The Referral Coordinator is responsible for setting appointments and processing referrals promptly to ensure seamless service initiation. Acting as a liaison within the healthcare industry, the Referral Coordinator facilitates patient resources and ensures compliance with insurance requirements. This role involves frequent interaction with insurance companies and requires strong organizational and communication skills. 

Essential Duties and Responsibilities:  

• Work independently with minimal supervision. 

• Maintain a superior work ethic and ensure timely resolution of referrals. 

• Handle all incoming authorizations via paper, phone, email, or electronic submission. 

• Contact insurance companies to verify patient benefits and obtain pre-certifications. 

• Utilize insurance websites to secure pre-certifications. 

• Submit referral information to insurance companies for approval/authorization. 

• Maintain accurate records of pending referrals and follow up as needed. 

• Notify patients regarding referral locations and provide necessary details. 

• Respond to phone inquiries related to referrals promptly and professionally. 

• Deliver exceptional customer service to internal and external customers regarding authorizations and related processes. 

• Collaborate with providers and staff to facilitate referral processing. 

• Engage in clear and empathetic communication with patients to improve service quality and satisfaction.  

• Collaborate with clinic staff and management to streamline operations and optimize the patient experience.   

• Uphold the confidentiality and privacy of all patient information in compliance with legal and organizational standards.   

• Additional duties as assigned. 

 Medical Records