Referral Coordinator

About This Role

The Referral Coordinator ensures timely processing of patient referrals to specialists and external providers, optimizing patient experience and streamlining clinic operations. This role involves coordinating between Kinwell Health clinics and external facilities to support care continuity.

Responsibilities

• Process, coordinate, prioritize and follow up on patient referrals to ensure timely and efficient transitions of care
• Proactively identify issues and delays in the referral process and implement solutions
• Schedule appointments with specialists and external providers based on patient needs, insurance requirements, and provider availability
• Ensure integrity in standard referral processes and workflows; drive and implement improvements when opportunities are identified
• Ensure that all necessary medical records, information and referral documents are provided to internal or external providers in a timely manner
• Verify insurance coverage for all referrals and obtain any required pre-authorizations
• Develop and maintain strong working relationships with external providers and specialists to facilitate efficient referrals
• Communicate effectively with patients regarding referral status, appointment details, preparation instructions, and any follow-up actions
• Act as a point of contact for patient inquiries related to referrals, providing updates and addressing concerns as needed
• Accurately document all referral-related information in the Electronic Health Record (EHR) system, including notes on follow-up actions, appointment confirmations, and patient communication

Requirements

• High school diploma or equivalent relevant work experience
• Two (2) years’ experience in a healthcare setting, preferably in referral coordination, medical scheduling, or similar administrative role
• Demonstrated experience in a customer service environment
• Proficiency in EMR systems (e.g., Epic, Cerner), Microsoft Office Suite, and insurance verification portals
• Knowledge of medical terminology, referral processes, and healthcare regulations (e.g., HIPAA)
• Excellent verbal and written communication skills
• Ability to create accurate and thorough documentation, strong time management and multitasking abilities
• Demonstrates a patient-centered approach

Qualifications

• High school diploma or equivalent relevant work experience, Associate's degree plus 3 years of prior medical practice experience.
• Two (2) years’ experience in a healthcare setting, preferably in referral coordination, medical scheduling, or similar administrative role.

Nice to Have

• Associate degree (AA) or certificate in a healthcare-related field
• Experience using EPIC EMR system

Skills

* Required skills

Benefits