Referral Coordinator - Referral Management - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

The Referral Coordinator at Keck Medicine of USC is a motivated, organized and efficient individual who has responsibility for managing and coordinating the process of referring patients to the appropriate provider, communicating back to the patients with the appropriate information, supporting the clinic in synchronizing appointments, authorizations and tests taking place in various clinics. . The position requires good telephone and interpersonal skills, efficient organization of incoming consults, and ability to coordinate team communication throughout the day. The position also requires a proficient knowledge of computer software applications including Word, Excel and Access for the purpose of creating spreadsheets, maintaining databases and contributing to the performance of routine analyses of the Excel Data. Abilities with PowerPoint also a plus. The position will require the person to self-direct for data input and prioritization of tasks for clinical issues and scheduled data deadlines.

The Referral Coordinator supports Keck Medicine of USC's Referral Center by coordinating the intake, processing, and communication of patient referrals across specialty service lines. This role is a key part of the Keck Referral System, ensuring a seamless referral experience for patients, providers, and clinical teams. The Referral Coordinator utilizes electronic health record systems, Ambulatory Referral Management (ARM), and other technologies to facilitate timely access to care while upholding departmental service standards and patient privacy regulations. The position requires good telephone and interpersonal skills, efficient organization of incoming consults, and ability to coordinate team communication throughout the day.

Essential Duties:

• Create and update patient charts in the Cerner electronic health record (EHR) system, following established registration workflows.
• Verify patient insurance eligibility and benefits, obtaining prior authorizations and referrals from payers as necessary.
• Serve as a liaison between patients, referring providers, payers, and clinical departments by phone and electronic communication to gather required information, provide updates, and facilitate referral processing.
• Coordinate referral activities by working closely with patients, clinic teams, and referring providers to ensure timely access to care.
• Track, monitor, and follow up on open referrals to support timely completion in accordance with departmental service standards.
• Accurately document referral activities, insurance information, communication efforts, and other actions within assigned technologies.
• Escalate complex cases, barriers to care, or urgent matters to leadership appropriately and in a timely manner.
• Maintain compliance with HIPAA, patient privacy regulations, and internal policies when handling sensitive information.
• Responsible for maintaining a consistent referral flow for the department through excellent customer service within our community.
• Utilize a variety of systems and technologies, including electronic health records, Ambulatory Referral Management (ARM), and communication tools, to accurately manage referrals and support operational efficiency.
• Demonstrate awareness of self-responsibility and accountability for own professional growth.
• Demonstrate self-directed learning and participates in continuing education to meet own professional development.
• Demonstrate clear, effective communication, team building, interpersonal, strong organizational, problem solving decision-making skills.
• Demonstrate ability to prioritize and maintained a level-headed approached when faced with unforeseen occurrences.
• Participates in the outreach programs identified by the department; internal and external.
• Performs other duties as assigned.

Required Qualifications:

• Req High School or equivalent

• Req Excellent working knowledge of ambulatory care demographics and clinical data elements, medical terminology and statistical formulae.
• Req Excellent skills in the use of networked personal computers, data mining systems and statistical software.
• Req Mastery of Microsoft Office applications.
• Req Knowledge of Microsoft Excel and Access scripts.
• Req Excellent graphical presentation skills.
• Req Excellent communication skills for collaboration and education.

Preferred Qualifications:

• Pref 2 years Experience in referral management, patient coordination, and clinical technology at a healthcare facility.

Required Licenses/Certifications:

• Pref 2 years Experience in referral management, patient coordination, and clinical technology at a healthcare facility.

The hourly rate range for this position is $25.00 - $39.69. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, .education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.