Referral Coordinator

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

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👻 Ghost score 12%

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Family Health Center

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1974

🏥 Healthcare

🤝 Non-profit

🧘 Wellness

Healthcare • Non-profit • Wellness

Family Health Center is a community-based health center providing primary care, dental care, pharmacy services, and substance use treatment across multiple locations. It partners with local programs and receives federal support (HRSA) to deliver accessible, patient-centered care and resources for underserved populations.

📋 Description

• Manage referrals from order through completion for specialty care, diagnostic testing, behavioral health, dental, and other services, including coordination, tracking, follow-up, and closure of the referral loop. • Review referral orders for completeness, accuracy, urgency, required documentation, and payer requirements. • Prioritize emergent, urgent, and time-sensitive referrals and follow through until appointments, authorizations, or next steps are confirmed. • Verify patient insurance eligibility, benefits, network status, referral requirements, and prior authorization requirements. • Obtain authorizations, pre-certifications, extensions, or modifications from insurance plans as needed. • Coordinate appointments with specialists and external service providers and securely transmit required clinical information. • Communicate referral details, appointment information, preparation instructions, and follow-up requirements to patients. • Document referral activity, patient contacts, provider communications, authorization details, appointment information, outcomes, and status updates in the EHR. • Respond to patient, provider, specialist, and staff inquiries regarding referral status. • Notify providers and care team members of referral barriers, delays, denials, missed appointments, incomplete referrals, or abnormal results. • Assist patients with barriers to care, including transportation, language access, insurance issues, financial concerns, or difficulty accessing specialty services. • Maintain knowledge of specialty providers, community resources, referral forms, payer requirements, and referral workflows. • Participate in audits, reporting, training, workflow improvement, and quality improvement initiatives related to referral management. • Perform other duties as assigned.

🎯 Requirements

• Completion of a medical assistant, certified nursing assistant, healthcare administration, or other related healthcare training program; or an equivalent combination of education, training, and demonstrated competency in referral coordination, insurance verification, patient access, or related healthcare functions is required. • Demonstrated ability to organize and prioritize work, communicate effectively with patients and interdisciplinary team members, and perform multiple responsibilities accurately in a fast-paced healthcare environment is required. • Knowledge of medical terminology and one (1) to three (3) years of experience with referral coordination, insurance verification, patient access, or in a medical office or other healthcare setting is preferred. • Experience in a Federally Qualified Health Center (FQHC) or community health center is preferred. • Current certification as a Medical Assistant (MA), Certified Clinical Medical Assistant (CCMA), Certified Nursing Assistant (CNA) is preferred. • Maintain patient confidentiality and comply with HIPAA, organizational policies, payer requirements, and all applicable federal, state, and local laws and regulations. • Maintain strict adherence to scheduled work hours with regular and reliable attendance.