What are the responsibilities and job description for the Referral Coordinator (56025) position at Sanitas?
Description
Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”
Job Summary
The purpose of the Referral Coordinator position is to manage and facilitate the process of referring patients to other healthcare providers or services, ensuring that patients receive the appropriate care and services they need. This includes responsibilities such as following referral procedure guidelines, obtaining prior authorization as needed by health plans, processing referrals, and scheduling appointments to specialists for patients per provider requests. Referral Coordinators play a crucial role in maintaining the continuity of care within the healthcare system.
Essential Job Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Training and Education : Staying updated on healthcare regulations, insurance requirements. Providing training and education to other staff members as needed.
- Assessment and Evaluation : Reviewing patient records and assessments. Assessing the specific requirements of the patient's condition.
- Communication and Liaison : Collaborating with referring healthcare providers. Communicating with specialists or service providers.
- Insurance Verification and Authorization : Verifying patient insurance coverage for the referral services. Obtaining necessary pre-authorization or precertification from insurance providers.
- Documentation and Record Keeping : Maintaining accurate and organized records of all referrals, including relevant details. Must enter and update referral data in the electronic system as appropriate. Documenting the reasons for the referral, dates, and specialist information.
- Patient Education and Support : Explaining the referral process to patients, including reasons for the referral and what to expect.
- Problem-Solving and Issue Resolution : Resolving any challenges or obstacles that may arise during the referral process.
- Compliance and Privacy : Ensuring the referral process complies with healthcare regulations and privacy policies, such as HIPAA.
Qualifications
Supervisory Responsibilities
This position has no supervisory responsibilities.
Required Education
Required Experience
Required Licenses and Certifications
Required Knowledge, Skills, and Abilities
Preferred Qualifications
Financial Responsibilities
This position does not currently handle physical money or negotiates contracts.
N / A
Budget Responsibilities
This position does not have budget responsibilities.
N / A
Languages
English
Advanced
Spanish
Preferred
Creole
Preferred
Travel
Not required
N / A
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job the employee is regularly required to work standing up, walk, use hands to operate tools and equipment and must be able to exert regularly up to 10 pounds of force, frequently exert 30 pounds of force and occasionally exert 50 pounds of force to constantly perform the essential job functions. The employee will be frequently required to reach with hands and arms, bend, balance, kneel, crouch, crawl, push, and pull. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Environmental Conditions
Inside : The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level.
Physical / Environmental Activities
Please indicate with an X the frequency for the activities that apply to the essential functions of the job based on the chart below. Please select Not Required for physical demands that aren’t essential to job performance.
Working Condition
Not Required
Occasionally
1-33%)
Frequently
34-66%)
Constantly
67-100%)
Must be able to travel to multiple locations for work (i.e.
travel to attend meetings, events, conferences).
May be exposed to outdoor weather conditions of cold,
heat, wet, and humidity.
May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists.
Must be able to ascend and descend ladders, stairs, or other equipment.
Subject to exposure to hazardous material.
