Medical Referrals Coordinator

ESSENTIAL FUNCTIONS: Process and coordinate medical referrals accurately and timely.

Review provider referral orders and ensure all necessary clinical information and documentation are included.

Obtain insurance authorizations and prior approvals when required.

Coordinate with specialty offices, hospitals, diagnostic facilities, and other community healthcare organizations.

Assist patients with scheduling specialty appointments and provide necessary referral information and instructions.

Verify insurance requirements and identify potential barriers that could delay access to care.

Track outstanding referrals and follow up with patients and outside organizations to determine referral status.

Obtain consultation reports, test results, and other documentation following completed referrals.

Ensure referral information and outside records are properly documented within the Electronic Health Record (EHR).

Work to close the referral loop by ensuring ordered services are completed and results are available to the ordering provider.

Contact patients regarding incomplete, missed, or outstanding referrals and document follow-up efforts.

Communicate referral barriers or urgent concerns to the appropriate clinical team.

Maintain accurate referral work queues and assist with identifying referrals requiring additional follow-up.

Protect patient confidentiality and comply with HIPAA, organizational policies, and applicable regulatory requirements.

Collaborate with providers, nursing staff, medical assistants, patient service representatives, care management, and other departments to support coordinated patient care.

Provide professional, compassionate customer service to patients and outside healthcare organizations.

Perform other duties as assigned to support patient access and clinic operations.