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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 DUTIES AND RESPONSIBILITIES include the following. 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. Maintains referrals tracking system and
up to date referrals documentation 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.