Referral Coordinator

Company Overview

Contentnea Health is a Community Health Center providing comprehensive medical, dental and behavioral health services for members of our communities in Greene, Pitt and Pamlico counties in eastern North Carolina.

Job Summary

Coordinates referrals ordered by clinical practitioners.

Responsibilities and Duties
 

1. Coordinates referrals.
   1. Reviews communication tools and the electronic health record (EHR) to receive referral orders from clinical practitioners.
   2. Reviews the referral order for completeness to ensure the receiving specialty partner has the information needed to schedule the referral appointment.
   3. Communicates directly with the ordering practitioner if additional information is needed.
   4. Reviews the patient’s insurance status to coordinate applications to patient assistance programs or completes prior authorizations with insurance companies when needed to facilitate timely referral appointments.
   5. Documents each step of the referral process per established referral procedure.
   6. Documents all communication with the patient related to the referral process.
   7. Informs the ordering practitioner of the status of the referral per the established referral procedure.
   8. Follows the established procedure for referral tracking to ensure follow-up for patients who miss their referral appointment.
   9. Communicates with the ordering practitioner when patients miss their referral appointment.
   10. Collaborates with the Health Records Coordinator per established referral procedure to assist with completion of the referral.
   11. Performs routine audits of open referrals.
   12. Collaborates in the process of assigning incoming referrals to the designated members of the Referrals team.
   13. Acts as a liaison between patients and specialists to address inquiries and concerns.

Qualifications and Skills