Job Title: Referral Coordinator

Reports to: Medical Assistant Supervisor

Supervises: N/A

Job Summary: The Referral Coordinator assists patients by coordinating referral appointments and working with insurance companies and care providers to share essential patient information. This role may also perform general administrative or clerical tasks such as answering phone calls and emails, maintaining patient records, and verifying insurance information before appointments. The Referral Coordinator frequently interacts with patients, doctors, and insurance companies, etc.

Job Qualifications

Education or Formal Training (Licenses/Certifications):

• High school diploma or GED required, certified medical assistant preferred (other patient care roles also acceptable)
• Language: Bilingual: English/Spanish, required

Experience:

• One (1) year experience with customer service tasks preferred.
• Computer skills and software aptitude required.
• Communication and customer service skills required.
• Multi-line phone proficiency required.
• Insurance coding and medical terminology or related healthcare experience preferred
• Ability to maintain confidentiality, patient records, manage multiple schedules, and ensure patient information is complete and up to date is required.

Knowledge, Skills, and Abilities:

• Ability to display a professional appearance and demeanor.
• Ability to follow all MCHC policies, procedures, standards, specifications, guidelines, actively participate and attend employee meetings and complete required training programs in a timely manner.
• Ability to promote, work, and act in a manner consistent with the mission of MCHC.
• Ability to communicate and collaborate with team members to ensure superior results and team success.
• Demonstrable verbal and written communication skills.
• Ability to think and act independently to find solutions.
• Is task and deadline oriented.
• Ability to take on ownership of assignments and communicate status, issues, etc., and follow-through to completion.

Schedule

Monday - Friday, full time hours

Essential Duties/Responsibilities

DESCRIPTION

Responsible for working with patients to arrange and schedule referral appointments. This includes providing patients with referrals to other care providers, managing incoming patient referrals, setting appointments, sending reminders, providing patients with information about referral appointments, and maintaining all patient appointments and scanning/updating charts.

Works closely with patients and insurance providers to gather and verify insurance information. Responsible to call or email various parties to verify patient coverage and enrollment information, checking to make sure that procedures are covered by the patient’s insurance, and verify copay amounts and billing information that the office sends to the insurance company for reimbursement.

In addition to supporting referral activities, may provide general administrative and clerical support. These tasks can include answering phone calls and emails, managing schedules, and maintaining electronic or paper files and records.

Ensures timely interactions directly with patients and assist patients by answering questions and resolving issues that may arise during the course of an office visit. In this aspect of the role, the referral coordinator may need to confirm that patients have the information necessary to make critical care decisions and may provide information to patient caretakers in accordance with HIPAA.

Performs other duties as assigned. Required

Working Environment and Physical Activities

This job is performed in a professional office environment. This role routinely uses equipment related to their specialty (computers, etc), as well as standard office equipment such as phones, photocopiers, filing cabinets, etc.

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.

• The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds.
• Specific vision abilities include close, distance, and peripheral vision, as well as depth perception and ability to adjust focus.
• While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

PM20