About this role
About the Role
- The Referral Coordinator is responsible for assisting patients who require specialty care referrals.
- The coordinator submits all prior authorizations and referrals through the proper insurance portals for approval.
- Responsible for sending out the referrals to the specialists and following up with the specialists and patents to ensure they are seen.
- Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team Handle incoming calls efficiently.
- Responsible for identifying patients’ needs, clarifying information, submitting referrals via insurance portals, faxing out referrals and following up with the patient.
- Provide courteous customer service to patients regarding referral requests.
- Request consult notes from other providers as needed.
- Responds to all patient inquiries concerning their referrals.
- Communicate with insurance companies to ensure all requests adhere to guidelines of coverage.
- Track referrals and provide follow-up as needed.
- Document all referral activities on patient files for future reference.
- Maintain accurate and organized patient file documentation.
- Process Prior Authorization for Medications, Injections, Biologics.