Referral Coordinator Clinic

Position Summary

The Referral Coordinator Clinic supports Trinity Health's ambulatory practices by managing all aspects of the referral and authorization process to help ensure patients receive timely and appropriate specialty care. This role processes internal and external referrals, verifies insurance requirements, secures authorizations, and coordinates the transfer of medical information to specialty providers. Working closely with clinic staff, providers, and external offices, the Coordinator monitors referral progress, communicates updates to patients and clinicians, and supports compliance with payer guidelines and organizational standards.

The position functions within a collaborative, patient-focused environment where organization, teamwork, and clear communication are essential. Through accurate documentation and proactive follow-up, the Referral Coordinator Clinic promotes continuity of care and a smooth, well-coordinated patient experience.

The Referral Coordinator Clinic supports Trinity Health's ambulatory practices by managing all aspects of the referral and authorization process to help ensure patients receive timely and appropriate specialty care. This role processes internal and external referrals, verifies insurance requirements, secures authorizations, and coordinates the transfer of medical information to specialty providers. Working closely with clinic staff, providers, and external offices, the Coordinator monitors referral progress, communicates updates to patients and clinicians, and supports compliance with payer guidelines and organizational standards.

The position functions within a collaborative, patient-focused environment where organization, teamwork, and clear communication are essential. Through accurate documentation and proactive follow-up, the Referral Coordinator Clinic promotes continuity of care and a smooth, well-coordinated patient experience.

• Receive, document, and process referral requests, ensuring accurate entry and routing within established clinic and payer workflows.
• Verify insurance eligibility and benefits, obtain required pre certifications or authorizations, and communicate with patients to collect needed information.
• Coordinate referral appointments with specialists or external providers, sending necessary medical records and updating patients on next steps.
• Track referral and authorization statuses in designated systems, follow up on pending items, and escalat... delays or coverage concerns to the clinic manager or clinical team.
• Communicate effectively with clinicians, patients, and payer representatives to resolve issues, clarify requirements, and support care coordination.
• Maintain accurate documentation and prepare routine reports related to referral activity, authorizations, and outstanding items.