Medical Referral Coordinator

Electrodiagnostic and Musculoskeletal Associates of Puget Sound (EMA PS) is a private practice in downtown Tacoma. Our culture is that of passionate individuals that are hard-working, love helping others and deliver results while having a good time. We celebrate diversity and work together in an environment where employees are encouraged to be themselves. Our mission to set the standard of clinical excellence by and through accurate diagnosis, collaborative treatment, and comprehensive service drives what we do every day.

Referral Coordinator job description: The Medical Referral Coordinator is responsible for managing and facilitating patient referrals. The coordinator is tasked with ensuring smooth transitions for patients, coordinating appointments, verifying insurance coverage, and ensuring compliance with healthcare regulations.

Key Responsibilities:

• Collaborate with healthcare providers to assess patients’ healthcare needs and determine the appropriate course of action.
• Identify suitable specialists or facilities based on patient requirements and insurance coverage.
• Consult with physicians and patients to make informed referral decisions.
• Coordinate appointment times, locations, and ensure that any necessary pre-visit requirements are met.
• Inform patients about their referral appointments, including date, time, location, and any special instructions.
• Address patient questions and concerns related to referrals.
• Provide a high level of customer service and ensure patients feel supported throughout the referral process.
• Verify patient insurance coverage for specialist visits and diagnostic tests.
• Obtain pre-authorizations or pre-certifications from insurance providers as necessary.
• Maintain accurate and detailed records of all patient referrals, including referral forms and documentation of communication with healthcare providers, patients, and insurance companies.
• Ensure compliance with documentation and data entry protocols to support efficient workflow.
• Track the status of patient referrals, ensuring appointments are kept and results are received.
• Monitor referral outcomes and resolve any issues related to scheduling or referral processing.
• Provide regular updates to healthcare providers and management on referral trends and concerns.
• Quality Improvement:
• Collaborate with management team to identify opportunities for improving the referral process.
• Ensure compliance with healthcare regulations, including HIPAA, and relevant state and federal guidelines.
• Maintain confidentiality and security of patient information at all times.

Qualifications:

• High school diploma or equivalent; some college education or healthcare-related certifications preferred.
• Previous experience in a healthcare setting, particularly in a referral coordination or administrative role, is highly desirable.
• Knowledge of healthcare insurance processes, including pre-certification and authorization procedures.
• Excellent organizational and communication skills.
• Strong attention to detail and the ability to handle sensitive patient information.
• Proficiency with healthcare management software and Microsoft Office Suite.
• Ability to work independently as well as part of a team.
• Empathy and patient-centered attitude with the ability to address patient concerns effectively.

This role is essential in ensuring patients have timely access to necessary care, helping improve overall patient experience and healthcare outcomes.

Join our team of dedicated healthcare professionals and make a difference in the lives of our patients.

Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of responsibilities or requirements.

Job Type: Full-time

Pay: From $19.00 per hour

Expected hours: 40 per week

Benefits:

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

Work Location: In person

Salary : $19