Referral Coordinator

At St. Thomas Community Health Center our mission is to provide culturally competent

healthcare of the highest quality, regardless of the patient’s ability to pay. We foster relevant

research and educational activities directed toward achieving health initiatives that reduce

health disparities in our community. Central to our mission is to acknowledging the role of

institutional racism as causative of these disparities. As such, our work is directed toward

becoming an antiracist institution.

Job Summary

A Referral Coordinator assists providers and patients in identifying and accessing community support resources including referrals for specialty medical services in compliance with insurance requirements. Completing referral entry, follow-up, and provider updates according to timelines established in referral policy. Ensuring appropriate referrals and authorizations are obtained and in the electronic medical record. Answers referral-related calls from patients/outside facilities; takes messages accurately and relays to the provider in a timely manner.

Responsibilities

Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety

Ensure complete and accurate registration, including patient demographic and current insurance information

Assemble information concerning patient’s clinical background and referral needs

Provide appropriate clinical information to specialist

Contact review organizations and insurance companies to ensure prior approval requirements are met

Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.

Review details and expectations about the referral with patients

Qualifications

Required:

High school diploma or equivalent;

Strong customer service focus

Effective verbal and written communication skills

Preferred:

Proven work experience as a Referral Coordinator or similar role

At least one year experience in a medical field

Experience working with EPIC

St Thomas Community Health Center offers a full competitive and comprehensive benefits package for full-time employees. Just a few of the great benefits we provide at St Thomas Community Health Center are:

Medical

Dental

Vision

Life Insurance

Accidental Death & Dismemberment

Short-Term Disability

Long-Term Disability

PTO

401K

Paid Holidays