Referral Coordinator

Company Mission Statement

The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles Area through the direct provision or coordination of health care, health education, services, and research.

Position Purpose

Under the supervision of the Program Manager, the Referral Coordinator is primarily responsible for coordinating and maintaining the health care center’s referral system, managing the referral process for patients requiring specialized medical services. The Referral Coordinator also serves as a liaison between the clinic, medical facilities, and other social service agencies to coordinate health services for JWCH's patients.

Principal Responsibilities

• 1. Process incoming and outgoing referrals accurately and efficiently within the standards of care timelines:
• Urgent – 24 hours
• Routine – up to 5 business days 2. Ensure all necessary documentation and medical records accompany each referral, including:
• Hospital notes, imaging, laboratory results 3. Ensure all assigned referrals are processed in a timely and accurate manner. 4. Regularly log into IPA portals (e.g., HCLA, CFC, HDMG, LA Care Direct). 5. Log into the referral database and Next-Gen daily. 6. Add appropriate service codes and assist patients in finding specialists as recommended by their PCP. 7. Act as the primary liaison between patients, referring physicians, and specialists. 8. Provide patients with information regarding referral procedures and appointments. 9. Contact the respective IPA to ensure patients' needs are met. 10. Verify insurance coverage and obtain pre-authorizations for specialist visits. 11. Communicate with insurance companies to resolve any issues related to referrals. 12. Maintain accurate and organized records of all referrals and communications. 13. Track referral outcomes and follow up with patients regarding their care. 14. Assist patients with questions or concerns about the referral process or specialist visits. 15. Ensure adherence to relevant regulations and organizational policies. 16. Participate in quality improvement initiatives related to referral processes. 17. Review all referrals weekly and monthly to ensure processing standards are met. 18. Schedule appointments and verify that patients receive the care requested by their primary care provider. 19. Notify the primary care provider if a patient does not follow through with a referral appointment. 20. Maintain an environment conducive to patient comfort and confidentiality. 21. Assist other clerical staff in clearing charts and answering phones. 22. Provide information and respond to patient inquiries in person, by mail, and by phone. 23. Perform other clerical tasks as assigned.