Referral Coordinator-Senior (School of Dentistry - OMS)

Under general supervision, coordinates patient referrals, authorizations, scheduling, and related administrative processes to ensure timely access to care. Serves as a liaison between patients, providers, clinics, and external organizations while maintaining accurate referral and patient records Leads or mentors lower level team members.

Responsibilities
- Receive, process, and track incoming and outgoing referrals.

- Coordinate appointments and schedules with internal and external providers.

- Obtain and document insurance authorizations and pre-certifications as required.

- Collect and maintain required demographic, insurance, and referral documentation.

- Monitor referral work queues and follow up on outstanding referrals.

- Communicate appointment information, referral status, and administrative requirements to patients and referring offices.

- Facilitate transmission of medical records, referral documentation, and supporting information.

- Enter and update patient and referral information accurately in the electronic health record and applicable systems.

- Maintain referral logs, reports, and other records as required.

- Identify and escalate clinical questions, urgent symptoms, or patient concerns to licensed clinical staff according to established procedures.

- May act as a team lead, creating a collaborative and respectful team environment and improving workflows.

- Mentor new team members.

- Maintain compliance with HIPAA, organizational policies, and regulatory requirements.

- Participate in process improvement activities related to referral management and patient access.

- Perform other duties as assigned.

Qualifications
- Knowledge of medical terminology, referral processes, and insurance authorization requirements.

- Ability to navigate electronic health records and scheduling systems.

- Ability to operate a multi-line telephone system while providing excellent service

- Strong organizational and attention to detail skills.

- Ability to establish and maintain effective working relationship with patients, employees and the public.

- Ability to maintain strictest confidentiality and adherence to all HIPAA guidelines/regulations.

- Ability to team lead, creating a collaborative and respectful team environment and improving workflows.

- Ability to mentor new team members.
EDUCATION:

- High school diploma or GED is required.

PREFERRED:

- Bilingual in English and Spanish.