<p>The Referral Coordinator provides oversight/management of the Referral Specialists to ensure the timely and accurate scheduling of specialty appointments as requested by Neighborhood Family Practice Clinicians and Providers. The Referral Coordinator provides administrative support to improve workflows, communication, adherence to Neighborhood Family Practice procedures, and ongoing auditing of documentation in the Electronic Medical Record.</p> <p>Essential Duties and Responsibilities: The following description is a general representation of the essential duties and responsibilities of the position.</p> <ul> <li>Manage[KP1] Referral Specialists, including hiring, training, evaluating, onboarding, and providing guidance on best practices. </li><li>Monitor workflows to ensure timely and accurate processing of referrals. Develop, implement, and evaluate workflow modifications on an ongoing basis. Collaborate with Quality Improvement and Population Health teams to drive improvement and change both within the department and at organizational level. </li><li>Conduct monthly audits on referral processing, urgent referral follow-up, EPIC In-based management, and Quality Improvement/Population Health Activities. Ensure data and documentation is entered appropriately for compliance and data retrieval purposes. Analyze data to identify trends and make recommendations for improvement. </li><li>Understand insurance company documentation requirements to improve referral and prior authorization approval. Ensure referral specialists provide detailed, accurate, complete, and timely information for referrals and authorizations to insurance companies and proactively remove barriers. </li><li>Collaborate with referral specialists for research conducted based on inquiries and requests. Provide guidance on complex referrals, obtaining appointments, removing barriers to care, and gaining access to necessary resources for care. Assist referral specialists in resolution of complex issues. </li><li>Oversee emergency room and discharge from hospital process to facilitate timely follow-up appointments with NFP providers. </li><li>Consult with Community Health Workers regarding community resources to assist patients in managing healthcare needs, improve access to referral sources, and identify emerging trends. </li><li>Other duties as assigned. </li></ul>