Overview:
This position is responsible for accurate and timely data entry of referral request into the appropriate portal. They are also responsible for follow-up on all specialty referrals. The referral coordinator is an integral part of the care team, working as a liaison between the patient, providers and Medical Management to ensure timely access to specialty care.
Responsibilities:$ads={1}
- Timely and accurate submission of referrals into the appropriate portals.
- Assists patients with scheduling of their specialty appointments and follows up on no-show.
- Completes packets and additional forms for specialty offices to expedite scheduling of specialty appointments.
- Follows up with specialist office to request notes and close the loop after appointment.
- Collaborates with Medical Management, UM and the Customer Support Center to resolve issues with pending authorizations.
- Collaborates with contracting team to escalate issues related to patient referrals or specialty providers.
- Performs trouble-shooting when problems situations arise; taking independent action to resolve complex issues.
- Perform additional duties as assigned.
- High school diploma required.
- Minimum of 4 years required.
- Medical Assistant certificate required.
- First Aid certificate required
- Bilingual English/Spanish required Bilingual English/Spanish required.
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