Referral Coordinator
OVERVIEW OF POSITION:
The Care Coordinator (also referred to as a Referral Coordinator) is responsible to the Center Administrator and
assists with medical management data entry and referral functions.
ESSENTIAL FUNCTIONS:
□ Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer
service, including quality and care and concern with each and every internal and external customer.
□ Represents the Company in a professional manner, following all Company policies and procedures.
□ Uses, protects, and discloses DaVita Medical Group patients’ protected health information (PHI) only in
accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
□ Responsible for total coordination and processing of all patient referrals for specialty services.
□ Follows protocols for proper authorization and processing of all referrals.
□ Communicates with the patient on a timely basis for all scheduling requirements.
□ Coordinates pre-admission testing requirements with clinic personnel and patient.
□ Completes all administrative functions associated with referral activities in a timely manner.
□ Enters all referral, hospital, outpatient, DME and other patient specialty health service authorizations into the
computer system according to Company policy and procedure.
□ Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly.
□ Responsible for monitoring all referral reports not received and timely follow-up in accordance with
Company policy and procedure.
□ Performs other duties as assigned.
□ Must have consistent, punctual and reliable attendance.
□ Ability to travel may be required.
EDUCATION:
o High school graduate, GED or equivalent.
EXPERIENCE:
o Previous medical office experience with referral processing for HMO plans is preferred.
KNOWLEDGE, SKILLS, ABILITIES:
o Ability to interact and verbally communicate effectively with patients and all levels of personnel in a
professional, courteous and effective manner with excellent customer service skills.
o Possess excellent communication and organizational skills with the ability to multi task, set priorities, and
meet deadlines.
o Results and goal-oriented with a philosophy for quality improvement.
o Must be computer literate and have exceptional telephone skills.
o Possess high job accuracy, efficiency, and dependability.
o Knowledge of HIPAA regulations.
o Ability to read, speak, write, and understand the English language fluently.
o Ability to multi- task in a high paced environment with good organizational skills.
o Ability to follow written and oral instructions and to work with general guidance.
o Previous experience with EMR systems is a plus.
o Knowledge of medical coding a plus.