Referral Coordinator

About Company:

PCC Medical Holding, LLC (Physician Care Centers) is a dynamic and fast-growing company of primary medical offices throughout the country.  Specializing in family medicine and the Medicare population, we have grown to more than 50 clinics, 90 providers, and 500 employees spanning Florida, Georgia, South Carolina and Texas.  Our goal is to guide our patients to healthy and enjoyable lives.

Our culture is to be intentionally kind to one another by treating each other with respect and empathy. The most impactful leadership lessons are taught by example. In leading, teaching, and coaching our organization to demonstrate the care, tolerance, and respect we want to see, we lead by example throughout our organization.                 

About the Role:

The Referral Coordinator plays a critical role in managing and streamlining the referral process within healthcare or service organizations to ensure timely and accurate patient or client transitions. This position is responsible for coordinating communication between patients, providers, and external agencies to facilitate seamless referrals and follow-ups. The Referral Coordinator ensures that all referral documentation is complete, accurate, and compliant with organizational policies and regulatory requirements. By maintaining detailed records and tracking referral statuses, this role helps improve patient outcomes and organizational efficiency. Ultimately, the Referral Coordinator acts as a liaison to enhance collaboration among multidisciplinary teams and support a positive experience for all parties involved.

Minimum Qualifications:

• High school diploma or equivalent; associate degree or higher preferred.
• Experience in a healthcare or administrative coordination role, preferably involving referrals or patient scheduling.
• Proficiency with electronic health record (EHR) systems and standard office software (e.g., Microsoft Office).
• Strong organizational and communication skills.
• Ability to handle sensitive information with confidentiality and professionalism.

Preferred Qualifications:

• Degree in healthcare administration, business, or related field.
• Experience working in a medical office, hospital, or insurance environment.
• Knowledge of healthcare insurance processes and terminology.
• Familiarity with HIPAA regulations and compliance standards.
• Customer service experience in a healthcare setting.

Responsibilities:

• Manage incoming and outgoing referrals by verifying patient information and eligibility.
• Coordinate with healthcare providers, insurance companies, and external agencies to facilitate timely referrals.
• Maintain accurate and up-to-date referral records in electronic health record (EHR) systems or other databases.
• Communicate with patients to provide referral status updates and assist with scheduling appointments as needed.
• Ensure compliance with organizational policies, privacy regulations, and insurance requirements related to referrals.
• Collaborate with internal departments to resolve referral issues and improve workflow processes.
• Prepare reports on referral activity and identify trends or areas for improvement.

Skills:

The Referral Coordinator uses strong organizational skills daily to manage multiple referrals efficiently and ensure no details are overlooked. Effective communication skills are essential for interacting with patients, providers, and insurance representatives to clarify information and resolve issues promptly. Proficiency with EHR systems and office software enables the coordinator to accurately document referral information and generate reports that support operational improvements. Attention to detail and knowledge of healthcare regulations ensure compliance and protect patient privacy throughout the referral process. Additionally, problem-solving skills help the coordinator navigate complex cases and improve referral workflows to enhance overall service delivery.