Referral Coordinator

Referral Coordinator

We are seeking a highly organized and customer-oriented Outgoing Referral Specialist responsible for coordinating imaging orders and scheduling imaging/procedures for patients while ensuring a seamless referral process. The ideal candidate must possess extensive knowledge of medical referrals, insurance policies, and authorization procedures to facilitate a smooth patient experience while maintaining compliance with healthcare regulations.

Administrative Duties

• Coordinate and process outgoing referrals and imaging orders, ensuring accuracy and completeness.

• Assist in scheduling imaging appointments for patients with external facilities.

• Assist in scheduling certain medical procedures as required.

• Verify insurance coverage, obtain authorizations, and ensure compliance with payer requirements.

• Communicate with patients regarding referral status, instructions, and appointment details.

• Work closely with physicians, medical staff, and external imaging centers to facilitate timely scheduling.

• Maintain accurate records of all referrals, authorizations, and scheduled procedures.

• Follow up on outstanding referrals to ensure timely completion.

• Address any patient concerns or issues related to the referral and scheduling process.

• Ensure adherence to HIPAA and other regulatory requirements.

• Manage the referral process for outgoing orders, ensuring timely and accurate coordination between various departments, healthcare providers, and external partners.

• Maintain a comprehensive and up-to-date database of outgoing referrals, tracking their progress and ensuring all necessary documentation is complete.

• Collaborate with healthcare providers, insurance companies, and other relevant parties to obtain necessary authorizations and approvals for outgoing orders and requests.

• Communicate with patients, providing them with clear instructions and information regarding their referrals, appointments, and any required documentation.

• Assist in resolving any issues or concerns related to referrals, working closely with internal teams and external partners to ensure a satisfactory resolution.

• Stay updated on industry regulations and guidelines related to referral processes, ensuring compliance and implementing necessary changes as required.

• Provide exceptional customer service to patients, healthcare providers, and other stakeholders, addressing inquiries and concerns in a professional and timely manner.

• Conduct oneself in accordance with company policies, procedures, and the employee handbook.

• Perform other duties as assigned.

Minimum Qualifications

Skills/Characteristics:

• Minimum of 2 years of experience in medical referrals, insurance verification, and prior authorization processing.

• Strong knowledge of medical insurance policies, referral procedures, and healthcare industry standards.

• Previous experience in a medical office or healthcare setting is required.

• Proficiency in electronic medical records (EMR) systems and scheduling software.

• Exceptional communication and interpersonal skills, with the ability to interact effectively with patients, providers, and insurance representatives.

• Strong organizational and multitasking abilities to manage a high volume of referrals efficiently.

• Keen attention to detail and problem-solving skills to navigate complex insurance and referral requirements.

Experience:

1-2 years’ experience as a Referral Coordinator

Education:

Highschool Diploma, GED, or equivalent

Physical Requirements:

This position is heavily administrative in a typical office environment. One should expect a fair amount of desk time, along with walking through the office and some bending and stooping.

Job Type: Full-time

Pay: $20.00 - $26.00 per hour

Benefits:

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

Ability to Commute:

• Reno, NV 89511 (Required)

Ability to Relocate:

• Reno, NV 89511: Relocate before starting work (Required)

Work Location: In person

Salary : $20 - $26