Referrals Coordinator

Job Summary

The Referral Coordinator supports the clinical unit with clerical activities, coordinating all external and some internal services. The coordinator schedules consultations, diagnostic testing and surgical procedures, inputs referrals and authorizations into a data bank, and coordinates follow‑up care with referral physicians as approved by a Physician Associate. The coordinator also maintains a pleasant and professional service environment for patients.

• Responsible for order entry into the computer system.
• Coordinates and schedules referrals when necessary per policy.
• Ensures that all necessary medical records are forwarded to referral providers.
• Acts as a resource for staff and patients with questions regarding referral policies and procedures.
• Provides internal and external referral coordination.
• Inputs all authorization information into the database, including diagnostic and procedure codes.
• Obtains appropriate authorizations as needed.
• Refers requests for emergency care, urgent care or medical advice to the appropriate staff member.
• Acts as a resource for staff and patients with questions regarding insurance benefits.
• Contacts patients with information concerning tests ordered by a provider as necessary.
• Orders and/or directs patients for outside tests.
• Assists Supervisor to maintain daily flow as directed.
• Works effectively as a member of a patient care team and contributes suggestions for improving unit and organization operations.
• Completes other tasks as assigned.
• Obtains authorization from a diversity of insurance companies depending on each patient’s insurance plan.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

No supervisory responsibilities.

• High school diploma or GED.
• Previous experience in a physician’s office, clinic or hospital processing referrals.
• Medical terminology knowledge.
• Experience scheduling healthcare appointments.
• Experience with office equipment, including computers, calculators, fax machines and copiers.

• Bilingual in English and Spanish.
• Proficient in Microsoft Office.
• Proficient in use of ECW.
• Experience in different insurance portals.
• Medicaid and Medicare knowledge.

This position works under usual office conditions. The employee is required to work at a personal computer and be on the phone for extended periods. Must be able to stand, sit, walk, and occasionally climb. The incumbent must be able to work extended and flexible hours, including weekends, and lift up to 50 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

Work will involve some driving/traveling to assigned clinics.

Computer and peripherals, standard and customized software applications, and usual office equipment.

Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.