You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006. And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) . Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Referral Coordinator SCHEDULING - CLINIC (BILLINGS CLINIC CLINIC) req9246 Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt) Starting Wage DOE: $22.78 - $28.48 This role is essential in overseeing the referral process for patients referred to Billings Clinic from both internal and external providers across all service lines, working to enhance relationships regionally. The position requires impeccable interpersonal skills and a strong commitment to customer service, as it serves as a critical link between patients, providers, and various departments. You will collaborate across the region to improve communication and facilitate patient care, serving both internal teams and external partners to ensure seamless referral coordination. Essential Job Functions • Serve as the primary point of contact for internal and external stakeholders regarding all patient referrals made to Billings Clinic, collaborating with service lines across the region to ensure seamless coordination and improve regional relations. • Act as the system navigator and liaison for patients and families, addressing their questions and concerns, and providing guidance throughout the referral process. • Maintain accurate tracking and documentation of patient referrals to ensure visibility across teams, promoting patient safety and clear communication between departments. • Ensure accurate registration processes, including verification of patient demographics and insurance information, to facilitate smooth referral handling. • Collect and compile relevant clinical information regarding the patient’s medical background and referral needs, sharing appropriate details with specialists according to referral guidelines. • Assess incoming referrals to prioritize cases based on urgency and clinical needs, ensuring timely access to care and preventing delays that could negatively impact patient outcomes. • Identify and address any referral issues that could adversely affect patient care. Work proactively to implement solutions that promote timely and effective treatment, ensuring high-quality service for all patients. • Clearly review referral details and expectations with patients, ensuring they understand the process and timelines. • Ensure that referrals are addressed promptly and that all required documentation, including authorizations, is accurately recorded within the required timeframes. • Prioritize incoming authorization requests based on urgency, ensuring critical cases are handled swiftly and effectively. • Regularly review and analyze referral data to identify trends and areas for improvement in workflows. Recommend adjustments to enhance process efficiency, reduce bottlenecks, and support consistent patient care. • Maintain clear and consistent communication with external stakeholders, including provider offices and departments, regarding the status of referrals and authorizations, using systems such as Cerner to track and report referral progress. • Assist with retroactive authorizations, collaborating with provider offices or payers and communicating outcomes to the appropriate parties. • Coordinate the resolution of issues related to the authorization process, conducting necessary research and problem-solving to resolve any discrepancies or challenges. • Collaborate with Payer Relations and the referral manager to ensure all regional sites have the necessary agreements with external providers, improving overall regional collaboration. • Maintain up-to-date reference manuals, policies, workflows, and payer-specific requirements related to referrals, pre-certifications, and authorizations, ensuring data integrity and compliance. • Provide orientation and education to physicians, nursing staff, Patient Financial Services, and other relevant personnel on referral processes, ensuring that all staff are informed and aligned with Billings Clinic’s procedures. • Ensure compliance with all organizational, departmental, and regulatory safety standards, supporting the safety and integrity of both patient care and departmental operations. • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. Minimum Qualifications Education • 4 Year / Bachelors Degree preferred. An equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Experience • 2 years of relevant experience, preferably in a healthcare setting. • 1 year of experience at Billings Clinic, preferred. • Proven ability to manage referral processes, including pre-certifications, pre-authorizations, and appointment scheduling, is highly desirable. • Experience working with various stakeholders, including patients, healthcare providers, and external partners, to ensure seamless coordination of care. • Familiarity with EHR systems, particularly Cerner, and knowledge of insurance processes, preferred. Certifications and Licenses • Current Montana/Wyoming driver’s license and the ability to be insured to operate Billings Clinic vehicles at hire Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing. Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/) Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.