Job Description


Description-

Job Summary:
The Referral Coordinator is responsible for supporting all elements of referral and authorization that includes:
Validating patient's health plan eligibility
Obtaining authorization for all services and procedures in office and external facilities
Contacting patients and scheduling into the Epic system
Contacting clinical staff to coordinate peer to peer calls between Physicians and the health plan as need
Work as an educator, healthcare resource, and patient advocate to ensure patient care is coordinated and managed appropriately
Refer patients to external physicians/specialist, serve as a liaison to the physician and coordinate care across the healthcare continuum

Qualifications:
A minimum of 5 years of experience in healthcare (acute care or ambulatory care organization), preferably experience in referral coordination or utilization management
Knowledge and experience with Electronic Medical Record (EMR). Experience with AllScripts or Epic is highly preferred
Able to effectively communicate with patients to ensure follow-through with referrals via phone communications

Application Instructions

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