This position is responsible for accurate and timely data entry of referral request into the appropriate portal. They are also responsible for follow-up on all specialty referrals. The referral coordinator is an integral part of the care team, working as a liaison between the patient, providers and Medical Management to ensure timely access to specialty care.
Responsibilities:
Timely and accurate submission of referrals into the appropriate portals.
Assists patients with scheduling of their specialty appointments and follows up on no-show.
Completes packets and additional forms for specialty offices to expedite scheduling of specialty appointments.
Follows up with specialist office to request notes and close the loop after appointment.
Collaborates with Medical Management, UM and the Customer Support Center to resolve issues with pending authorizations.
Collaborates with contracting team to escalate issues related to patient referrals or specialty providers.
Performs trouble-shooting when problems situations arise; taking independent action to resolve complex issues.
