Referral Coordinator

Referral Coordinator

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.

Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.

Join us to start Caring. Connecting. Growing together.

Reporting to and working under the general direction of the Supervisor(s) and Manager of the department, reviews complex referral requests and evaluates and assigns appropriate specialists for the patient. Works with patients and providers to understand services being requested. Interviews patients as needed to obtain full understanding of what information is being requested. Works closely with Specialty Nurses to ensure clinical handoffs are safe and appropriate. Coordinates care both within Atrius Health and Reliant and with external partners.

Schedule: Monday-Friday, 8-hour shifts between 8am-5:30pm EST

Location: 1177 Providence Hwy. Norwood, MA. If you live near Norwood, MA, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges. Hybrid schedule to be determined upon hire. May be required to work onsite at manager's discretion (for possible training, or if there are connectivity issues, etc.)

Primary Responsibilities:

• Reviews referral information from clinicians for pertinent information regarding tests, consultations, and procedures. Verifies demographics and insurance information. Work is highly complex and detail oriented, involving frequent contact with a range of internal and external contacts as well as the need to understand terms and processes of multiple payers
• Reviews referral information from work queue for pertinent information regarding referral requests
• Reviews each external referral for opportunity to convert to internal referral and reviews options with patients. Redirect patients with managed care products appropriately ensuring clinical handoff is safe using expertise of specialty nurses. Ensures adequate information is obtained and relayed when care is moved
• Promotes the Atrius Health System of Care by highlighting internal providers and their expertise
• As needed, places orders to start the referral process for the PCP on behalf of patients who have booked appointments and call for the referral. Researches the visit notes to determine if a referral was intended as well as processing referrals for follow-up or annual visits that require a referral
• Schedules patients for tests, consultations, services and procedures with other departments, local private offices, and/or outside vendors/providers
• Answers phone calls, faxed requests and other inquires relating to referrals and communicates with the phy