Referral Intake & Coordination
Referral Intake & Coordination from Soft Home Global costs $1,600 per seat per month. That is one full time trained person, forty hours a week, working United States business hours inside your own system. One seat, one month, cancel any time.
Referrals arrive by fax, portal and phone all day, then sit. Nobody calls the patient, nobody starts the authorization, nobody asks the referring office for records. The patient books somewhere else and the referring practice quietly stops sending. This seat is one full-time coordinator working your referral queue on your hours, inside your systems: patient contacted, appointment booked, records chased, authorization paperwork prepared and submitted, and the loop closed back to whoever sent them.
What the seat actually does
- Every referral logged the day it lands — fax, portal, phone and email pulled into one worklist with the referring practice, the reason and the date received.
- Patient called on your hours and called again at different times of day before anyone is marked unreachable, with every attempt time-stamped in the record.
- Appointment booked to your written rules — right provider, right visit type — and your own prep instructions read back on the call, clinical questions passed to your staff.
- Records chased from the referring office by phone and portal until the notes and imaging are in the chart before the visit, not found missing on the day.
- Prior authorization prepared where the plan requires it: benefits checked, request filed with your clinician's notes attached, reference logged, status chased to a decision.
- Loop closed back to the referring office — booked, seen or unreachable — plus a weekly list of everything still open and why it is still open.
What it costs
$1,600
Per seat, per month, in US dollars. Full time, forty hours a week, on US hours — not per hour, not per claim, and never a share of your collections.
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The denial codes this seat works
1 codes, grouped the way the queue is worked rather than by number. Each one links to what causes it, the order to work it, and how to stop it recurring.
Worked by being checked against the contract before any work is done
- CO-288 — Referral absentThe plan required a referral from the patient’s primary care physician and there is not one on file for this visit.
Working a denied claim costs $57.23 per denied claim in administrative time (source) and about about 90% of initially denied claims are eventually paid. The reason they sit is almost never that nobody knows how. It is that nobody has the hours.
How a seat starts
You issue one named login. We sign the Business Associate Agreement before it is used. We agree the numbers you will judge the seat on, which you pick and you measure. Then we train for about a week on your workflow and the seat starts. Every Friday you get a written report of what was done, what the numbers were, and what went wrong.
Questions
How much does referral intake & coordination cost?
$1,600 per seat per month. That is a full time person, forty hours a week, working United States business hours. Not per hour, not per claim, and not a percentage of what you collect.
Is there a minimum contract?
One seat for one month, cancellable with thirty days notice. There is no annual lock-in.
Do we have to change systems?
No. The work happens inside whatever you already use, through a named login you issue. We do not sell software and we do not route your data through anything of ours.
How quickly can a seat start?
About a week from the agreement, which covers training on your workflow, your payer mix and your system. You are not charged extra for that week.
Can the seat actually call our patients, or is this back-office work only?
They call. Outbound to the patient, inbound when the patient calls back, and outbound to the referring office and the plan — in English, on your hours, using your phone system or a line you provide. Every call is logged with who was reached, what was agreed and what happens next, so the queue never depends on one person's memory. You interview the candidate before they start, and phone work is the first thing to test in that interview. One seat covers one shift: nights, weekends and the days that person is out are not covered unless you add a second seat or cover them yourself.
Who owns it when an authorization is questioned or denied?
Your clinician does, and that limit is worth being clear about. The seat prepares and submits: benefits checked, the form completed, your clinician's documentation attached, the reference number recorded, and the status chased until there is a decision. Deciding medical necessity, writing the clinical justification, choosing the codes that go on the request, calling a referral urgent and taking a peer-to-peer call all sit with a licensed or credentialed person in your practice. An offshore coordinator cannot own any of that and signs nothing in a clinician's name. What the seat removes is the chasing, the re-faxing and the hold time around those decisions.
What do we have to do on our side?
Three things, none of them optional. Give the seat named logins to your practice management system, your fax or referral portal and a phone line, under your own security policies and the business associate agreement your counsel provides — the work happens inside your systems and nothing is copied out. Write down your booking rules: which provider sees what, how far ahead you schedule, what counts as urgent and who decides that. And name one person who can answer questions the same day for the first two weeks. Without that person the seat guesses, and guessing in a referral queue is expensive.
Does this make sense for a small practice?
Not always. This is one full-time person at $1,600 a month, paid up front, one month minimum, thirty days' notice. If you receive a handful of referrals a week your front desk can absorb them and the seat sits half idle, so you are paying for capacity you have no work for. It earns its place when the queue is genuinely backing up: referrals aging before anyone calls, patients saying nobody ever contacted them, or a referring practice that has gone quiet. Count the unworked referrals sitting in your queue today and decide from that.
How long before the seat is actually productive?
Slower than you would like, and it is better to plan for that. The first days go on access being provisioned at your end — logins, portal accounts, a phone extension — which usually takes longer than the practice expects. Then come your providers, your schedule rules and your referral sources. Expect the early period to be shadowing, simple bookings and record chasing with the work checked before it leaves, then the full queue once your rules are known. Anyone promising a fully productive coordinator on day one is describing a different job than this one.
Next step
Try one referral intake & coordination seat for a month
$1,600 for the month. If it does not earn its keep, cancel it. Twenty minutes on a call is enough to tell whether it fits.
Or write to ops@softhomeglobal.com

