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Referral Coordinator

Referral Coordinator

Tucson Dermatology, Ltd.Tucson, AZ, US
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Job Description

Job Description

POSITION SUMMARY :

The Referral Coordinator is responsible for the coordination, processing, and scheduling of medical referrals and prior authorizations for a variety of dermatologic and surgical services. This role supports clinic providers by ensuring referrals are completed efficiently and accurately while adhering to third-party payer requirements. The Referral Coordinator also assists with answering phones, handling appointment reschedules and recalls, and providing front desk support as needed. The ideal candidate is highly organized, detail-oriented, self-motivated, and personable , with strong communication skills and the ability to manage a high volume of referrals across multiple providers and locations.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

Referral Coordination & Scheduling

  • Monitor referral requests throughout the day.
  • Prepare and process all referral and prior authorization paperwork in a timely manner.
  • Gather necessary patient and clinical information from the EMR or clinical team.
  • Contact specialty clinics, insurance providers, and facilities to complete referral and pre-authorization requests.
  • Utilize third-party payer / insurance portals and maintain detailed knowledge of insurance requirements for authorization approval.
  • Call patients within 48 hours of the initial referral request to provide an update.
  • Maintain and update electronic medical records (EMR) with all referral and authorization details.

Patient & Administrative Support

  • Answer incoming calls and assist with patient inquiries regarding referrals, appointments, and authorizations.
  • Manage appointment reschedules and recalls , ensuring timely follow-up for patients.
  • Ensure all communication with patients and external offices adheres to HIPAA regulations .
  • Work closely with providers, medical assistants, schedulers, and front desk staff to coordinate patient care efficiently.

    • Front Desk & Cross-Training

  • Serve as backup for the front desk team , assisting with check-ins, check-outs, and administrative tasks when needed.
  • Stay up to date on front desk policies and procedures to ensure seamless support when required.

    • Other Duties as Assigned

  • Perform additional administrative or clerical tasks as required to support Tucson Dermatology’s operations.

    • Qualifications & Requirements :

    Education & Experience :

  • High school diploma or equivalent (required)
  • Minimum 1-2 years of experience in a medical office, dermatology practice, or healthcare setting .
  • Previous experience with medical referrals, prior authorizations, and insurance verification is highly desirable .
  • Familiarity with CPT and ICD-10 coding is preferred.

    • Skills & Competencies :

  • Strong organizational and time management skills with a high level of accuracy.
  • Excellent verbal and written communication skills .
  • Ability to prioritize workload and handle multiple tasks efficiently.
  • Self-motivated and able to work independently while collaborating with a team .
  • Proficiency in electronic medical records (EMR) and scheduling systems .
  • Strong knowledge of insurance portals, third-party payers, and authorization requirements .
  • Personable and professional demeanor with a commitment to outstanding patient care .

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    Referral Coordinator • Tucson, AZ, US