Referral Coordinator

• Coordinate all aspects of a specialty and/or diagnostic referral in a timely manner when requested by Grace Health providers.
• Verify insurance coverage and obtain prior authorizations for services to be rendered as required by individual insurance plans.
• Ensure that the specialist accepts the patient’s insurance plan.
• Assemble referral paperwork and requested medical information and submit to the specialty office as needed.
• Communicate referral information to the patient and providers.
• Document appointment or preauthorization information in Nextgen EMR or in an electronic log of all referrals.
• Provide excellent customer service to both internal and external customers.
• Establish and maintain professional relationships with all staff.
• Inform leadership of authorization or referral concerns, back logs, or insurance issues.
• Routinely generate a NextGen Referral report or work electronic log of ordered referral requests.
• Verify that the office has received the diagnostic or specialty report when ordered.
• Coordinate with appropriate sites to obtain diagnostic results or specialty referral report if the information has not been received.
• Complete the referral order in the Order Management section of Next Gen or indicate complete on the electronic log indicating the date that the referral results were received.
• Conduct patient outreach when the patient has not been compliant with a provider’s order; one phone call and one sent letter.
• Document patient’s non-compliance in Next Gen Order Management section and Manage Selected Referral or on the electronic log.
• Work with other members of the health team when patients request that their referral be rescheduled.
• Other duties may be assigned.

• Grace Health recognizes that managing patient care is a team effort that involves clinical and non-clinical staff. All employees must embrace a team-based approach to patient care and understand that each role is important to our success.
• Team members must demonstrate excellent team communication and coordination to provide quality patient care.
• Care coordination includes communicating with community organizations, health plans, facilities, and specialists.
• Care team members understand and embrace the concept of population management and proactively address the needs of patients and families served by this practice.
• Team members must demonstrate skill and knowledge related to effective communication with vulnerable patient populations.
• Team members must participate in Continuous Quality Improvement activities within the organization to ensure patients receive high quality care.
• All team members will be involved in the process of improving quality incomes.
• Team members will participate in the review and evaluation processes of practice performance and help to identify opportunities for improvement.
• Team members will participate in Grace Health's advocacy program.

• Follows policies and procedures of the office, including administrative, clinical, quality assurance, and personnel
• Maintain good attendance (daily, meetings, and other assignment tasks)
• Maintain timely documentation of all work assignments
• Maintain patient confidentiality
• Routinely keep supervisor informed about attendance and job assignments
• Flexible in being able to multitask
• Work effectively and at an efficient pace
• Work cooperatively with physicians, administration, and peers

• Pleasant personality and professional demeanor
• Cooperative attitude-Flexible
• Detail Oriented
• Able to work with minimal supervision
• Highly organized work habits with ability to prioritize
• Intermediate computer skills with Microsoft Word and Excel
• Familiar with Electronic Medical Record

Grace Health