The Referral Coordinator is a key point of contact for Kinwell’s new and existing patients.  This role is responsible for referral operations at assigned clinics, establishing and standardizing systems and procedures for the distribution and use of health information throughout the organization. In partnership with Clinicians and Clinic Support team members, this person will support Kinwell’s patients by providing timely and appropriate referrals. The Referral Coordinator will work on-site at one of our clinics in Washington state. 
 

What you’ll do: 

• Ensure current and standardized referral policies and workflows. 

• Prioritize patient referrals by their urgency and address them in a timely manner. 

• Participate in orientation and training of referral personnel. 

• Ensure complete demographic, insurance, and appropriate/pertaining clinical information is sent to referred specialists. 

• Contact insurance companies to ensure prior approval requirements are met. 

• Present necessary medical information such as, history, diagnosis and prognosis to insurance companies if deemed necessary to prove medical necessity of services. 

• Review details and clarify expectations about the referral with both the ordering providers and patients. 

• Request new referrals to be ordered when applicable. 

• Develop and implement systems as required by EMR functionality and/or regulatory agencies. 

• Identify and utilize community resources; establish relationships with servicing providers and personnel. 

• Point of contact for patients and specialists for any questions or rising concerns. 

• Assist in problem solving issues related to the patient’s referral due to language or social barriers. If unable to help, assist in finding the right point of contact. 

• Other duties as assigned. 

What you’ll bring: 

• H.S. Diploma or GED plus 5 years of prior medical practice experience, OR associate's degree plus 3 years of prior medical practice experience. 

• Experience in a customer service environment. 

• Experience using EPIC (preferred). 

• Demonstrated intermediate knowledge of PC’s, word processing, data entry and EMRs. 

• Basic Life Support (BLS) for Health Care required at time of hire from American Heart Association (AHA) or Military Training Network (MTN). 

• Excellent critical thinking, flexibility, problem solving and written and verbal communication skills. 

• An interest in growing and developing skill and knowledge to be able to take on larger tasks or roles. 

• Ability to manage difficult or emotional customer/patient situations. 

• Excellent interpersonal skills including phone communication 

• Skill operating computer in a Windows environment utilizing Outlook, Work, and Excel. 

• Ability to interact effectively with colleagues and management at all levels. 

• Independent decision-making skills and ability to influence others to resolve issues. 

• Ability to work as a member of a team or independently without supervision or direction. 

• Demonstrated ability to exercise judgment to handle sensitive and confidential information in a discrete and professional manner.