Referral Coordinator

Sweetgrass Pediatrics - Summerville, SC

Full-time

Remote - Summerville, SC

Ambulatory Health Care Services

About the position

The Referral Coordinator is responsible for obtaining necessary information, verifying insurance, and authorizing referrals to ensure proper patient treatment. This role involves coordinating scheduling with patients and specialty practices, while adhering to regulations and maintaining a high level of customer satisfaction.

Responsibilities

• Obtain information, insurance verification, and authorization for patient treatment and referrals.
• Review orders from providers to determine appropriate testing and procedures based on patient insurance.
• Pre-authorize and pre-certify tests or procedures as required.
• Coordinate scheduling with patients and outside entities for referrals.
• Schedule patients referred to specialty practices by providers.
• Attend staff meetings as required.
• Organize, plan, and manage time effectively to meet position requirements.
• Complete all mandatory training as required.
• Perform other duties as assigned.

Requirements

• High school diploma or equivalent.
• Prior medical practice experience preferred.
• Knowledge and prior experience with insurance verification preferred.
• Basic knowledge of medical terminology.
• Working knowledge of computer applications.
• Prior experience with EMR preferred.
• Ability to speak, read, and write effectively.
• Demonstrate proper telephone etiquette.
• Ability to work independently without direct supervision.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.

Nice-to-haves

• Experience in phone etiquette.
• Experience in a medical practice setting.

Benefits

• Remote work option after training completion.
• Flexible working conditions in a smoke-free environment.