Referral Coordinator

The Referral Coordinator is responsible for coordinating all South Boston Community Health Center’s patients through the referral process.

Qualifications:

High School Diploma required, some college preferred, knowledge of the referral and prior authorization system.

Flu and Covid vaccines required for employment.

Representative Job Duties:

• Collects request for SBCHC and outside specialists or diagnostic visits and determines whether managed care authorization is needed.
• Obtains provider authorization (or denial) for a referral and notifies outside specialists and patients of authorization numbers.
• Documents in the medical record: details about referral; the steps to making the referral ; and communications regarding the referral
• Serves as liaison between the outside specialist and referring physician and schedules internal and external appointments.
• Notifies patients of scheduled appointments and educates them about their appointments and any necessary preparation.
• Interacts with insurance companies to obtain the prior authorizations for the patients for high tech radiology procedures and dealing with out of network referrals and worker’s comp. cases.
• Assumes other duties as required.