Referral Coordinator

Details

Posted: 23-May-24

Location: USA - MA - Cambridge

Type: Full-time

Salary: Open

Categories:

Administrative/Support
Staff/Administrative

Internal Number: 65835BR

Job Summary

Serves as liaison between patients and providers to schedule diagnostic tests and specialty consultations at outside organizations (prior authorization as needed) and in-house specialty appointments. Obtains date of service and follows up with visit results. Assists patients with tracking referral status in the electronic system. Works collaboratively with Member Services and Care Coordination departments. Office responsibilities include data entry and coordination of mailings. Collaborates with satellite and specialty offices in processing referrals.

DUTIES AND RESPONSIBILITIES:

• Knowledgeably articulates insurance limitations to patients.
• Tracks referral status in the electronic system and ensures documentation of referral visits is available for PCP follow-up or upon request.
• Schedules diagnostic tests and specialty consultations at outside organizations.
• Assists patients with scheduling in-house specialty appointments.
• Assists patients by providing directions to outside facilities.
• Communicates with outside referral services by telephone, fax, and e-mail.
• Serves as liaison between patient and inside/outside providers.
• Communicates referral appointment information to patient and provider.
• Keeps pre-testing instructions updated from referral organizations.
• Generate reports as requested.
• Work collaboratively with Member Services and Care Coordination department.
• Enters referral into

  
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