Referral Coordinator

Job Description

Job Description

Referral Coordinator

Location – Trenton, NJ

• Essential Healthcare Solutions is seeking Referral Coordinators in a medical clinic that facilitates the process of sending patients to specialists or for diagnostic services by managing communication, insurance approvals, scheduling, and patient education to ensure continuity of care and a seamless patient experience. They serve as a key link between patients, primary care providers, and external healthcare services, handling the administrative and logistical aspects of referrals.

Duties and Responsibilities

• Process and track patient referrals from the point they are ordered to the completion of the appointment, ensuring all required steps are followed.
• Contact insurance companies to verify benefits, obtain prior authorization for services, and present necessary medical information to justify the referral when needed
• Serve as a point of contact for patients, providing information about their referral, answering questions, addressing concerns, and reminding them of appointments.
• Collect and send complete patient information, including clinical history, diagnosis, and demographics, to specialists and diagnostic facilities.
• Maintain accurate and up-to-date records of all referral-related activities within the patient's medical chart or the clinic's administrative system.
• Schedule appointments with specialist providers and coordinate transitions of care between different healthcare settings, ensuring a smooth process.
• Facilitate communication between primary care providers, specialists, and other healthcare settings to ensure seamless collaboration and continuity of care.
• Proactively identify and resolve issues that arise during the referral process, ensuring the referral is completed successfully. Ensure the facility adheres to all relevant healthcare laws, regulations, and ethical standards, such as HIPAA.
• Act as a liaison between staff, patients, families, and administration, ensuring clear communication and effective collaboration.
• Responsible for ensuring the integrity and security of all privacy laws
• Responds to a variety of inquiries of varying complexity by using knowledge and an understanding of established policies, procedures, and practices for safeguarding information (HIPAA, PHI, PII), including maintaining confidentiality of all company proprietary information.
• Proactively multi-tasks on a variety of assignments; provides thorough work while maintaining a sense of urgency based on program needs.
• Maintains professionalism, ethical standards, discretion, candor, privacy, and confidentiality of all company proprietary information, meetings, communication, and documents, including implementation of policies and procedures consistent with those of the organization.
• Records and maintains patient information in accordance with standard protocols and the Privacy Act.
• Thoroughly exercise skill in initiative, judgment, problem-solving, and decision-making daily.
• safely performs duties and follows the corporate safety policy.
• Performs other duties as assigned in accordance with contract requirements.
  

Qualifications

• High school diploma or GED is the minimum requirement.
• Relevant certifications, such as a Medical Administrative Assistant (CMAA) credential.
• Previous experience working in a medical or administrative setting, such as a medical receptionist or administrative assistant years' experience in a Director-level position.
• CPR/First Aid certification.
• Proficiency with computers and common office equipment, as well as with MS Office products required.
• Must be able to perform duties in a stressful and high-paced environment without physical limitations.
• Ability to adapt to sudden changes and flexibility in work requirements to include potential shift changes based on operational needs and/or command priorities.
• Proficiency in Microsoft Office Suite and healthcare management systems (EHR, scheduling, inventory).
• Ability to obtain and maintain necessary clearances and credentials required for access to detention facilities.
• Must be a US citizen or permanent resident, resided in the US for 3 years in the past 5 years.
• Must be at least 21 years of age.
• Must be able to multitask, be detail-oriented, be organized, and have excellent verbal and communication skills.
  

Preferred Qualifications

• Bilingual (English/Spanish or other relevant languages) preferred.
• Experience preferably in correctional, detention, military, or government-contracted healthcare environments.
• Knowledge of federal and state healthcare regulations, detention facility healthcare standards, and government contracting compliance.
• Strong background in compliance, audits, and inspections (e.g., NCCHC, ACA, Joint Commission).
• Has undergone a federal investigation at the level of Tier 2 or higher; has been granted

  Favorable suitability/eligibility and has not had a break in service for more than 24 months.
  

• DHS or ICE detention center experience.

Physical Requirements and Work Conditions

• Work is normally performed in a typical interior/office work environment.
• Work involves sitting and standing for prolonged periods of time.
• Ability to ascend/descend stairs.
• Visual acuity required to complete paperwork and computer work.
• Work is performed in a secure detention facility.
• May require evening, weekend, or on-call hours.
• Exposure to emotionally challenging situations.
  

Work Hours : Shifts (7 am – 4 pm; 4 pm – 12 am; 12 am – 7 am)

Salary : $26.84/hr.

Essential HealthCare Solutions is an Equal Opportunity Employer -

We are an equal employment and affirmative action employer. We do not discriminate in hiring based on sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law. If you need reasonable accommodation for any part of the employment process, please contact Human Resources and let us know the nature of your request and your contact information.

Accommodation requests will be considered on a case-by-case basis. Please note that Human Resources will respond to only inquiries concerning a request for reasonable accommodation.