What are the responsibilities and job description for the Referral coordinator position at Mountain Park Health Center?
The Referral Coordinator is responsible for following referral procedure guidelines, obtaining prior authorization as needed by health plans, processing referrals and scheduling appointments to specialists for patients per provider requests of Mountain Park Health Center (MPHC).
Essential Functions :
- All referrals are processed in a timely and efficient manner and according to the referral procedure guidelines.
- Insurance verification is confirmed prior to processing the referral
- According to guidelines / primary care provider requests, provides appropriate clinical information to specialists in order for referrals to be processed all STAT and ASAP referrals are processed within one business day.
- Routine referrals should be processed within 3 business days, routine screening consults within 5 business days
- Patients are notified verbally and given / sent written confirmation regarding their appointment time, location, special instructions.
- Follow up on prior authorizations is performed at least weekly and notes made in the referral notes section statistics of all referrals processed are reported as directed to the Operations Director / manager of the department for referrals not requiring prior authorization, and if patient is at a provider visit, every attempt is made to process the referral(s) while the patient is here
- Performs other duties as assigned.
- Must be able to embrace differences among people and able to interact with internal staff as well as external contacts in a culturally competent and respectful manner.
Qualifications :
Minimum Qualifications :
High School diploma or GED
Preferred Qualifications :
Previous referral experience
PDN-9c6039f3-e1b7-4733-a652-c08fd11f7514
Last updated : 2024-07-01
Referral and Authorization Coordinator
HOPCo -
Phoenix, AZ
