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Referral Coordinator

Description

We are excited to announce an opening for a Referral Coordinator at our Oviedo office. As a Referral Coordinator you will be responsible for keeping track of the patient's referrals and ensuring that patients are scheduled for their recommended non-PCP appointments, maintain a list of all preferred specialist and ancillary providers, obtain referral authorization if required by the health plan, schedule specialist appointments for patients, and communicate respectfully and effectively with patients regarding appointments.


Key Responsibilities

  • Supports the clinical team with the verification of all referrals created by IMA providers.
  • Obtains timely referral authorization required by the patient’s health plan, if applicable, and follows up daily on pending actions needed to complete a referral.
  • Process routine, urgent, and STAT referrals in accordance with company protocol.
  • Proactively scheduled patient appointments and confirmed with patients and physicians.
  • Confirms and documents all steps of the referral process to include authorization, outgoing and incoming faxes, fax received confirmation, outreach, and scheduling. 
  • Include appropriate clinical documentation by fax, including the last office visit, pertinent tests, and specialist agreement forms, in accordance with company protocol.
  • Maintains the current list of all preferred specialist and ancillary providers.
  • Document all interactions of the referral process within the EMR 
  • Utilize the prior authorization resource tools to determine authorization requirements 
  • Attaches the digital copy of the insurance authorization approval to the patient's referral/chart. 
  • Process patient documents according to company protocol
  • Collaborates with the Referral Manager and Network Manager to help identify preferred network of specialists by health plan, identifying specialists to the Network Manager who perform above or below IMA expectations.

Requirements

  • High school diploma or General Education Degree (GED) 
  • Minimum 1-3 years of Referral Coordination or related clinical experience 
  • Minimum of 1-3 years of Electronic Medical Record (*EMR) Experience (eClinical Works - eCW Preferred)
  • Knowledge of insurance plans, ICD-10, and CPT codes
  • Understanding of medical terminology
  • Knowledge of Managed Care Services.
  • Effective Communication Skills (Written and Oral) 
  • Excellent interpersonal relationships and customer service skills
  • Exceptional time management and organizational skills
  • Ability to travel for training if applicable
  • Bilingual in Spanish and English (Preferred)


About IMA Medical Group

IMA Medical Group is a visionary and dynamic company focused on high-quality primary care services, with doctors and professionals dedicated to the health and well-being of the elderly. With many locations throughout Central Florida, we reiterate our commitment to providing quality medical care and an exceptional experience on each visit. That is the peace of mind and convenience that our patients deserve.


What We Offer

  • A welcoming and inclusive work environment
  • Opportunities for professional growth and development
  • Competitive salary and benefits package
  • Health, Dental, and Vision Insurance
  • 401(K) Retirement Plan with Matching
  • Voluntary Short & Long-Term Disability
  • Employer-Paid Life Insurance
  • Paid Time Off, Floating Holidays, and Paid Major Holidays
  • Employee Assistance Program (EAP)


How to Apply

ARE YOU READY TO JOIN OUR TEAM? We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application so that we can review your information. We look forward to meeting you!


IMA Medical Group is an Equal Opportunity Employer (EOE) and we comply with all federal, state, and local anti-discrimination laws, regulations, and ordinances.

IMA Medical Group participates in E-Verify, as required by the Florida Medicaid program.

IMA Medical Group maintains a drug-free workplace in accordance with applicable Federal and State laws.

Average salary estimate

$47500 / YEARLY (est.)
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$40000K
$55000K

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What You Should Know About Referral Coordinator, Medical Home Alliance

We're thrilled to share an exciting opportunity for a Referral Coordinator at IMA Medical Group in Oviedo, Florida! As a Referral Coordinator, you will play a vital role in managing patient referrals and ensuring that appointments with specialists are scheduled efficiently and effectively. Your day-to-day tasks will involve tracking patient referrals, maintaining an up-to-date list of preferred specialists, and obtaining necessary authorization from various health plans. You'll have the chance to work closely with the clinical team to verify referrals and process them according to established protocols. Your exceptional communication skills will shine as you interact respectfully with patients, guiding them through their appointment schedules and addressing any queries they might have. This position requires a keen eye for detail, as you will confirm and document every step of the referral process within our Electronic Medical Record (EMR) system. With a strong emphasis on teamwork, you will collaborate with the Referral Manager and Network Manager to help identify our preferred network of specialists. If you have experience in referral coordination, a knack for organization, and a passion for helping others, IMA Medical Group awaits you!

Frequently Asked Questions (FAQs) for Referral Coordinator Role at Medical Home Alliance
What are the key responsibilities of a Referral Coordinator at IMA Medical Group?

As a Referral Coordinator at IMA Medical Group, your primary responsibilities will include tracking and managing patient referrals, scheduling specialist appointments, and verifying authorization requirements as stipulated by health plans. You’ll also maintain documentation in the EMR system and liaise with both patients and healthcare providers to ensure a seamless referral process.

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What qualifications do I need to apply for the Referral Coordinator position at IMA Medical Group?

To be considered for the Referral Coordinator role at IMA Medical Group, you should possess a high school diploma or GED and have 1-3 years of relevant referral coordination or clinical experience. Familiarity with EMR systems, particularly eClinical Works, along with a good understanding of medical terminology, insurance plans, ICD-10, and CPT codes is also beneficial.

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Does IMA Medical Group require prior experience in healthcare for the Referral Coordinator position?

Yes, IMA Medical Group prefers candidates for the Referral Coordinator role to have at least 1-3 years of experience in referral coordination or a related clinical field. This ensures that you are familiar with the healthcare environment and can manage patient referrals effectively.

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Is bilingualism a requirement for the Referral Coordinator role at IMA Medical Group?

While being bilingual in Spanish and English is preferred for the Referral Coordinator position at IMA Medical Group, it is not a strict requirement. However, having strong verbal and written communication skills in both languages can significantly enhance your ability to serve our diverse patient population.

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What type of work environment can I expect as a Referral Coordinator at IMA Medical Group?

At IMA Medical Group, you can look forward to a welcoming and inclusive work environment. The company values teamwork, professional growth, and development, which contributes to a positive atmosphere and a strong commitment to providing high-quality care to our patients.

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Common Interview Questions for Referral Coordinator
Can you describe your experience with managing patient referrals?

In responding to this question, focus on specific examples that demonstrate your organizational skills and experience in prioritizing tasks. Discuss how you have successfully tracked referrals, scheduled appointments, and communicated with both patients and specialists to ensure smooth referrals.

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How do you handle a situation where a referral is delayed?

Mention the steps you would take to identify the cause of the delay, follow up with relevant parties, and communicate the status to the patient. Emphasize your problem-solving skills and dedication to keeping patients informed during the process.

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What techniques do you use to maintain accurate documentation in an EMR system?

Outline your familiarity with EMR systems and your methodical approach to documentation. Highlight your attention to detail and the importance of timely and accurate entry to ensure all necessary information is easily accessible and up-to-date.

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How do you ensure compliance with insurance authorization requirements?

Discuss your understanding of different health plans and authorization processes. Share specific experiences where you proactively identified and obtained necessary authorizations, highlighting your meticulous approach to ensuring compliance.

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Can you explain how you build relationships with specialists and other providers?

Explain the importance of communication and collaboration in building professional relationships. Share how you have reached out to specialists, maintained ongoing communication, and established trust to facilitate smoother referrals.

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What do you think is the most challenging aspect of being a Referral Coordinator?

Reflect on common challenges such as managing high volumes of referrals or navigating complex insurance requirements. Demonstrate your resilience and problem-solving capabilities by discussing how you tackle these challenges while ensuring patient satisfaction.

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How do you prioritize tasks in a fast-paced environment?

Discuss your time management strategies, such as categorizing tasks based on urgency and importance. Emphasize your ability to remain calm under pressure while ensuring that patient referrals are handled efficiently.

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What role does communication play in your success as a Referral Coordinator?

Emphasize the significance of clear, respectful communication with patients, specialists, and clinical staff. Share examples of how effective communication has directly contributed to better patient outcomes and streamlined referral processes.

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How do you keep updated on changes in insurance policies and medical terminology?

Highlight your commitment to continuous learning and professional development. Discuss resources such as workshops, seminars, or relevant literature that you utilize to stay informed about changes in the healthcare industry.

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Why do you want to work as a Referral Coordinator at IMA Medical Group?

Express your enthusiasm for the role and the company’s mission to provide high-quality care. Mention how your values align with IMA Medical Group's commitment to patient-centered service and how you look forward to contributing to their success.

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EMPLOYMENT TYPE
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DATE POSTED
April 4, 2025

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