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POSITION SUMMARY

As a Provider Referral Coordinator, you will play a critical role in our healthcare team, dedicated to delivering the highest quality of patient support. This position is responsible for the seamless coordination of provider specialty referrals from start to finish, ensuring exceptional customer experience and meticulous stewardship. Your key responsibilities include providing friendly, rapid, and accurate patient support, completing patient registration documentation, scheduling appointments, and assisting with various departmental projects and clerical duties. Specifically, you will manage the entire provider specialty referral process, from the initial referral request to the final appointment, ensuring seamless transitions and timely follow-ups. You will also coordinate and schedule appointments for patients with various specialists, taking into consideration the urgency and nature of the referral, and ensure patients are well-informed about their appointments, providing reminders and rescheduling as necessary. Your contributions will directly impact patient care and satisfaction, making you an essential part of our commitment to No Harm/Quality and outstanding service.

PRIMARY ACCOUNTABILITES 1.

Handle fast-paced volume of inbound and outbound calls in a professional and courteous manner. 2. Schedule patient appointments accurately and efficiently, ensuring optimal use of multiple resources. 3. Communicate through multiple channels, applications while using multiple screens. 4. Coordinate care and schedule referrals between primary care physicians, specialists, and other healthcare providers. 5. Maintain up-to-date patient records and ensure all necessary documentation is completed. 6. Utilize in-depth knowledge of insurance policies, payor plans, par (participating) and non-par (non-participating) status, copays, and coinsurance to accurately process and manage patient referrals. 7. Ensure all referrals are compliant with insurance requirements, verify patient eligibility, and maintain up-to-date records of insurance policies and payor information to support efficient and accurate referral processing. 8. Provide patients with information about their appointments, including location, preparation instructions, and any required documentation. 9. Maintain key performance metrics, such as call volume, appointment scheduling accuracy, and referral turnaround times. 10. Resolve patient inquiries and issues promptly and escalate complex cases to the appropriate personnel. 11. Other duties as assigned.