A referral coordinator works in the medical field, at medical institutions such as private practices and hospitals. The position generally requires at least an associate’s degree, and it often requires experience in the health care field. The referral coordinator oversees patient billing and should have experience with billing and be comfortable using medical coding. Some positions also require the referral coordinator to be a certified medical reimbursement specialist.
The coordinator makes sure that patients’ benefits deem them eligible for their organization's services. Then the referral coordinator obtains proper authorization for the services. The referral coordinator is also responsible for obtaining authorization for the patient to receive services at referred medical practices. When the referrals are denied, the coordinator must notify the physician and patient.
In smaller practices, the referral coordinator may also be tasked with other duties. These duties may include preparing patient charts for doctors and organizing patient test results and files. The referral coordinator must file authorized referrals for doctors so that they can be reviewed. The patient records may also have to be passed on to other medical entities. The referral coordinator may also set up appointments for patients and remind them about upcoming appointments. Additionally, The referral coordinator may have front desk duties such as answering phones, and assisting with patient check-ins. This position requires a person who is able to multitask and work well with patients and a team. There are usually both full-time and part-time positions available.
Referral Coordinator Tasks
Ensure that follow-up referral appointments and reports were kept and received.
Prepare medical records prior to patient visit.
Performs patient referrals and authorizations by completing and submitting documents and discussing with providers, insurance carriers and patients.
Schedule and confirm patient diagnostic appointments, surgeries and medical consultations.
Maintain referral records and report on data.