Referral Coordinator

Position Description:

Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin.

As a Referral Coordinator, you will serve as the central access point for referring providers and assist in meeting key service and financial pillar goals. Utilizes appropriate protocols and resources, critical thinking, and decision-making skills to navigate the patient through service lines to receive care for referred services. Captures patient-level demographics, insurance eligibility, and registration details and authorizations before service completion. Tests and refines new technology and work flows within PAS to ensure strategic alignment across service lines and support the organization's goals. Supports all aspects of patient coordination and barrier identification to support continuous growth in new patient-external referrals and create a competitive market for our patients and providers.

Responsibilities:

• Serves as the decision-making resource and utilizes critical thinking to analyze the needed coordination for patient care associated across multidisciplinary departments.
• Facilitates timely and efficient referrals and follow-up with patients by managing referral queues, faxes, email, and other correspondence.
• Following detailed guidelines to schedule patient appointments, create referrals, track completion and communicate back to referring physicians if unable to schedule.
• Verifies insurance eligibility for all new patients via automated insurance plan eligibility databases.
• Coordinates with insurance entities to investigate, process, and log referral authorizations.
• Provides patient estimates based on coverage to support expectations of financial responsibilities.
• Conducts outreach efforts with referring providers to provide status updates.
• Completes documentation, including demographics and referral information notes and orders.
• Develops understanding of all Froedtert & Medical College of Wisconsin clinic locations and the locations of its affiliate facilities, including directions to and within associated buildings in order to give appropriate directions to patients.
• Mentors and assists new and existing staff by educating others on area-specific knowledge, skills and tools, and departmental processes.

Preferred Schedule:



Full-time role with expectations for coverage during core business hours and flexibility required as necessary to accommodate business needs.

Position Requirements:

Minimum Qualifications:

Appropriate experience may be substituted for education on an equivalent basis.

Minimum Required Education: High School Diploma

Minimum Required Experience: 3 years' experience to include working in the healthcare field or services.

Preferred Qualifications:

Preferred Education: Bachelors or Associates degree (healthcare administration a plus)

Preferred Experience: Previous experience in physician group practice and ancillary scheduling and referrals. Strong computer and electronic health record knowledge. Strong customer service experience.

#LI-RT1

Why MCW?

• Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Pet Insurance
• On campus Fitness Facility, offering onsite classes.
• Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a full list of positions see: www.mcw.edu/careers

For a brief overview of our benefits see: https://www.mcw.edu/departments/human-resources/benefits

Eastern Wisconsin is a vibrant, diverse metropolitan area. MCW is intent on attracting, developing, and retaining a diverse workforce and faculty body that reflects the community we serve. We value diversity of backgrounds, experience, thought, and perspectives to advance excellence in science and medicine. MCW is a welcoming campus community with a strong culture of collaboration, partnership, and engagement with our surrounding community. For more information, please visit our institutional website at https://www.mcw.edu/departments/office-of-diversity-and-inclusion.

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination


The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

.