Detail-oriented and highly organized referral coordinator with several-year history of serving patients in the field setting. Technically savvy and expert user of various software packages. Interested in contributing to industry.
responsible for managing and facilitating the process of patient referrals from one provider to another, ensuring patients receive the appropriate care. Here’s a breakdown of the role:
Primary Duties:
1. **Processing Referrals:**
- Receive and review referral requests from physicians, specialists, or other healthcare providers.
- Ensure that the referral is accurate and contains all necessary information for the receiving provider.
2. **Coordinating Appointments:**
- Schedule appointments for patients with specialists, diagnostic centers, or other healthcare services as per the referral.
- Ensure the patient is informed about the appointment details and necessary preparations.
3. **Communication:**
- Act as a liaison between patients, doctors, and specialists to ensure smooth communication and follow-up on referrals.
- Provide patients with information on referral processes, insurance coverage, and any out-of-pocket costs.
4. **Insurance Verification:**
- Verify insurance coverage for referrals to confirm that the specialist or service is within the patient's insurance network.
- Communicate with insurance companies to confirm approval or resolve issues related to coverage.
5. **Documentation and Records:**
- Maintain accurate and up-to-date records of all referrals, appointments, and patient interactions.
- Ensure compliance with healthcare regulations and privacy standards, like HIPAA.
6. **Follow-Up:**
- Track the progress of referrals, including ensuring the patient has attended their appointment and received the necessary follow-up care.
- Monitor patient outcomes and relay relevant information back to the referring physician.
Skills & Qualifications:
- **Strong Communication Skills:** To handle patient inquiries, communicate with healthcare providers, and coordinate appointments effectively.
- **Organizational Skills:** Ability to juggle multiple referrals, appointments, and follow-ups while maintaining detailed records.
- **Knowledge of Insurance Processes: Understanding insurance protocols for referrals and verifying coverage is key.
- **Medical Terminology:** Familiarity with healthcare terminology to ensure proper handling of referrals.
- Managed patient registration, verified insurance, and maintained accurate medical records.
- Coordinated communication between patients, families, and healthcare teams.
- Scheduled patient transport, tests, and follow-up appointments.
- Processed physician orders and tracked diagnostic results.
- Supported ER staff by organizing patient flow and assisting with administrative tasks.
- Ensured timely and accurate documentation in fast-paced environment.
-answer incoming calls