Medical Referral Coordinator

The Medical Referral Coordinator provides excellence in customer service to Neurology Care’s referral sources and their claimants/patients. Daily activities include inbound/outbound call handling, verifying insurance coverage, obtaining authorizations, securing and reviewing required documentation, processing orders, and completing follow-up. The Medical Referral Coordinator is responsible for facilitating patient referrals from primary to specialty care providers.Key Responsibilities:Technical and Clinical SkillsServe as key liaison between patients, healthcare providers, and insurance companies to ensure seamless referrals and timely access to specialized careCoordinate medical referrals, authorizations, and schedulingVerify insurance benefits and obtain necessary approvals in compliance with reimbursement guidelines and customer rulesIn clinic reimbursement guidelines, “customer rules” typically refer to the provider’s obligations to patients and payers that ensure accurate billing, compliance, and fair payment. These rules are designed to protect both the clinic and the patient while meeting regulatory requirements. Identify and resolve referral-related issuesEnsure all referral procedures comply with legal and medical standardsAccurately completes and/or updates patient records Processes orders in a timely and accurate manner per all applicable policies and proceduresNotifies supervisor of issues that hinder process, unsatisfied customers, or any other significant negative customer service circumstance Maintain patient confidentiality and data security as part of HIPAA compliance Ensure all referral procedures comply with legal and medical standards Accurately completes and/or updates patient records Processes orders in a timely and accurate manner per all applicable policies and procedures Notifies supervisor of issues that hinder process, unsatisfied customers, or any other significant negative customer service circumstance Maintain patient confidentiality and data security as part of HIPAA compliance Interpersonal and Communication SkillsCommunicate effectively with all patients; families; licensed personnel; insurance companies and third-party payersAdvocate for patients interests by guiding them through complex neurological care pathways, resolving barriers, and providing timely informationCollaborate with internal teams to ensure efficient workflowQualifications1-2 years of experience in medical referrals or related fieldStrong communication and organizational skillsProficiency in medical terminology and insurance processesAbility to work in a fast-paced environmentOther duties as assignedBenefitsMedical, Dental, and Vision insurancePaid Time Off401(k) Retirement PlanGreat Work Environment