Referral Coordinator

Providence Community Health Centers
Providence, RI
Category Healthcare
Job Description
Role Overview

A Referral Coordinator works collaboratively with physicians, practitioners, counsellors, nurse case managers and other departments to coordinate transfer of care between PCHC providers and community specialists.

What You Will Do

Monitors the electronic health record to receive and process requests for referrals and diagnostic imaging prior authorizations during standard clinical hours. Proactively reviews new referrals and diagnostic imaging prior-authorization requests for completeness and accuracy.

Why It Might Be a Fit

Excellent oral and written communication skills, ability to work independently and as part of a healthcare team, and proficiency in using the PCHC electronic health record and scheduling system are required.

Requirements

  • Excellent oral and written communication skills
  • Ability to work independently and as part of a healthcare team
  • Basic knowledge/experience in navigating web-based portals
  • Microsoft Office products such as Excel, Word, and Outlook
  • Attention to detail
  • Medical Terminology
  • Proficiency in use of the PCHC electronic health record and scheduling system
  • Ability to develop positive relationships with community specialists and insurance carriers
  • Experience with processing prior authorizations and referrals
  • Knowledge of state and federal health care programs, including Medicaid, Medicare and other public benefits programs
  • Knowledge of HIPAA regulations
  • Ability to communicate with people of various diverse backgrounds in a sensitive and compassionate way
  • Access to reliable transportation
  • Background check/Life Links access
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