Referral Coordinator

• Interact with staff, patients, internal departments, physician practices, and insurance companies to obtain maximum reimbursement
• Handle insurance eligibility and obtain authorizations for BPC, BPE, Baptist Specialty Offices, and Imaging
• Complete approximately 30–50 authorizations per day
• Accurately complete verification of insurance benefits and authorizations using online tools and/or direct contact with insurance carriers
• Register patients in a timely, accurate, and professional manner
• Provide referral assistance to physicians, patients, and insurance companies
• Schedule appointments, obtain authorizations, and collect patient responsibilities at the time of scheduling

Referral Coordinator securing authorizations and scheduling pediatric rehab patients for Baptist Health

Referral Coordinator, Pediatric Outpatient Rehab

Referral Coordinator securing insurance authorizations and scheduling pediatric outpatient rehab patients for Baptist Health. Coordinating referrals, eligibility verification, patient registration, and payments.

• Coordinate referral requests and communication of appointments
• Organize referral requests from multiple locations
• Obtain preauthorizations
• Communicate the status of appointments
• Support clinical excellence, teamwork, and innovation

Referral Coordinator scheduling orthopedic appointments for Baptist Health Medical Group

Referral Coordinator coordinating orthopedic referrals and appointment scheduling for Baptist Health Medical Group. Organizing requests, obtaining preauthorizations, and communicating appointment status.

• Performs core job responsibilities related to referrals, such as: scheduling, referral authorization and/or medical record maintenance.
• Accountable for accurate and efficient coordination of care related to screening, diagnostic, or therapeutic testing, and consultative and therapeutic referral scheduling.
• Ensures all referral requests are scheduled timely and in accordance with established procedures.
• Communicates with management, clinical staff, and other internal and external customers.
• Provides the highest level of customer service to patients, visitors, clinical staff and fellow employees.

Referral Coordinator coordinating patient referrals and authorizations in healthcare setting

Referral Coordinator managing patient referrals and authorizations in healthcare practice. Ensuring timely scheduling and effective care coordination across multiple locations in the U.S.

• Process referral requests for all providers
• Ensure referral/authorization numbers are obtained
• Search electronic medical records for clinical information
• Reviews and processes referral and authorization requests
• Handle calls from internal and external sources
• Communicate as appropriate with payer, provider, patient

Processing referral requests for healthcare providers in a supportive environment

Referral and Medical Auth Coordinator

Processing referral requests for providers in a healthcare system. Ensuring accurate and timely communication with payers and providers for optimal patient care.

• Receive, review, and process incoming referrals and related documentation from external providers using Epic and various referral sources.
• Validate referral completeness, including required patient demographics, referring provider information, diagnoses and/or procedures, requested services, and supporting documentation (as needed).
• Interpret referral documentation containing medical terminology, diagnostic language, urgency indicators, and procedural requests.
• Review and enter diagnoses using ICD10 codes or approved free text selections when coded diagnoses are not provided.
• Apply established intake, diagnosis, and specialty specific referral matrices to determine appropriate clinic, specialty, diagnostic department, or program routing.
• Assess and assign referral priority levels (routine, urgent, emergent) based on referring provider documentation and intake standards.
• Create and manage referral records in Epic, ensuring accurate selection of referral type, department, location, and point of service.
• Attach referral documentation to the correct Epic referral, confirming accurate patient identification using required identifiers.
• Identify incomplete, misdirected, or inappropriate referrals and route them to the appropriate workflow for resolution, exercising independent judgment within established protocols.
• Communicate with referring providers, clinic staff, internal stakeholders and rarely patients to obtain missing clinical information, diagnoses, procedure, or demographic details required to complete referral intake.
• Clarify referral intent, urgency, or destination when documentation is unclear or conflicting.
• Document referral intake actions, decisions, and discrepancies using standardized Epic communication notes and documentation tools.
• Escalate complex referrals, routing uncertainties, access barriers, or potential safety concerns to supervisors or designated leads in accordance with department protocols.
• Support the centralized access model for referral intake and scheduled patient care, contributing to efficient coordination and timely access to services.
• Identify trends, workflow barriers, and quality concerns impacting referral accuracy, timeliness, or patient access.
• Report issues, challenges, and potential risks to leadership to support operational improvement and patient safety efforts.
• Participate in discussions related to optimizing intake workflows, referral accuracy, and Epic system performance.
• Participate in the review and recommendation of updates to intake, diagnosis, and referral matrices to ensure accurate routing and alignment with clinic criteria.
• Validate matrix accuracy related to diagnostic terminology, procedures, clinic restrictions, and specialty workflows in collaboration with leadership.
• Perform additional duties in support of Centralized Access Service operations as assigned.

Referral Coordinator managing patient care requests for OHSU clinics.

Referral Coordinator responsible for processing patient referrals for OHSU ambulatory clinics. Ensuring accurate, timely access to patient care services and collaborating with external providers.

• Assist patients by receiving incoming referrals and coordinating referral appointments.
• Work with insurance companies and care providers to share essential patient information.
• Track and document referrals to keep staff aware of referral status.
• Ensure complete and accurate patient registration and provide necessary medical information to specialists.
• Assist patients who qualify for UNCFA to coordinate care with appropriate facilities.
• Act as a patient advocate to make sure services are given appropriately.
• Ensure timely documentation in the patient's chart regarding specialist consults and hospitalizations.

Referral Coordinator assisting patients at NeighborHealth Center in Raleigh, NC

Referral Coordinator assisting patients at NeighborHealth Center in Raleigh, NC. Coordinating incoming referrals and working with insurance companies to manage patient information.

• This position works with Iowa Donor Network and hospital partners to manage the medical evaluation and coordination of organ, eye, and tissue donation opportunities.
• Communication of daily staffing and response needs for Referral Response (RRC) team.
• Collaborate with hospital staff over the phone and in person to collect clinical information regarding potential organ donors.

Coordinate organ donation processes with hospitals and families as Referral Response Coordinator

Referral Response Coordinator

Coordinate medical evaluations and collaboration with hospitals for organ donation opportunities. Engage with families to ensure effective response and support during the organ donation process.

• Manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team
• Use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met

Care Coordinator managing referrals and prior authorizations in digital healthcare

Referral & Authorization Care Coordinator

Care Coordinator specializing in referrals and authorizations at Oshi Health's virtual digestive health practice. Managing healthcare coordination and collaborating with a multidisciplinary clinical team.

• Provide internal support to the Medical Management Department in the areas of Outpatient Case Management ensuring all services referred are reviewed according to plan requirements and approved criteria.
• Effectively communicates to management and internal departments timely.
• Receives and responds to all incoming calls from PCP, specialists, and other providers regarding inpatients, surgeries, and outpatient services including DME, Home Health Care, and other services requiring a pre-authorization.
• Coordinates DME with contracted HMO vendors for outpatient services.
• Coordinate with Inpatient Case Manager on discharge planning of members (DME, Home Health, and Skilled Nursing).
• Coordinates and reviews retro surgical procedures with Manager.
• Understands Health Plan policies and procedures regarding pre-authorization, benefits by health plan, and preferred facilities within each plan.
• Enters data and coordinates elective admissions with a surgical component.
• Maintains compliance with all health plan guidelines on the reporting of cases/surgeries.
• Works with clinical staff to assess benefit levels for non-medical denial determination to ensure the denial process includes letter and log maintenance.
• Identifies potential stop-loss candidates to be monitored and reports to a senior-level manager.
• Applies Innovista guidelines and additional approved criteria as detailed in the client UM Plan for the length of stay/admission criteria to approve initial and continued inpatient services.
• Other duties as assigned.

Referral Coordinator supporting Medical Management Department in outpatient care

Referral Coordinator role at Innovista Medical Center supporting Medical Management in outpatient case management and service coordination. Ensuring compliance with regulations and effective communication in healthcare processes.

• provide support to all Methodist Medical Group (MMG) clinics
• serve as a reserve point of contact into the Methodist Medical Group clinics
• manage incoming calls, appointment scheduling, and follow up calls related to coordination of care
• serve as a liaison between the referral departments, MMG clinical practices, and associated medical neighborhood

Referral Coordinator supporting Methodist Medical Group clinics in Texas

Referral Coordinator providing essential support to Methodist Medical Group clinics and serving as liaison for care coordination in Texas. Managing appointment scheduling and contact into referral departments.

• Facilitate access to care. This role is a duel role with half time with Diagnostic Referral Service and half time with Transplant team. This includes scheduling of patients at all Nemours sites of service. Maximize template utilization. Manage the wait list and referral work queue to ensure it is at or below established metrics.
• Manage divisional templates to ensure ease of patient access, provider effectiveness and efficient clinic flow.
• Provide daily administrative support to assigned members of the clinical team; including the Division Chief. Assist in the coordination and support of enterprise/departmental/divisional projects and initiative which further the clinical, educational and research missions of the Department of Pediatrics and its Divisions.

Medical Practice Coordinator facilitating patient access and managing schedules

Medical Practice Coordinator – Diagnostic Referral Service

Medical Practice Coordinator responsible for patient scheduling and administrative support in a pediatric health system. Managing templates and facilitating access to care for effective clinic flow.

• Oversee the intake and referral process from receipt through completion.
• Coordinate referrals with internal departments, external providers, and health plan partners.
• Monitor referral workflows to identify delays, barriers, or trends impacting patient access.

Referral Coordinator managing healthcare intake and referral processes

Referral Coordinator overseeing healthcare intake and referral processes for Curana Health. Ensuring timely and compliant access to care for patients.

Referral Coordinator jobs in United States

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Referral Coordinator, Pediatric Outpatient Rehab

Referral Coordinator

Referral Coordinator

Referral and Medical Auth Coordinator

Referral Coordinator

Referral Coordinator

Referral Response Coordinator

Referral & Authorization Care Coordinator

Referral Coordinator

Referral Coordinator

Medical Practice Coordinator – Diagnostic Referral Service

Referral Coordinator