Clinic Referral Coordinator (Remote, California, US)

OpenKrill; United States; Remote; USD 39,000 - 50,000; Full time

Benefits offered by this job

PTO: vacation, wellness, 11+ holidays

Medical, Dental, Vision insurance

401(k) plan

Job summary

Indigenous Pact is seeking a Remote Referral Coordinator to manage referrals from intake to closure, ensuring timely access to specialty care for patients in a remote healthcare setup. The role emphasizes prior authorization management, scheduling, and precise documentation while collaborating with clinic teams and external partners.

The ideal candidate has 2+ years in referral coordination or related roles, knowledge of HIPAA and payer portals, and strong organizational skills.

Qualifications

• High school diploma or equivalent.
• Minimum two years of experience in referral coordination, patient navigation, medical office administration, prior authorization, or related healthcare support role.
• Knowledge of insurance eligibility verification, prior authorization processes, HIPAA requirements, and healthcare documentation standards.
• Experience with electronic health records, referral tracking systems, and payer portals.

Responsibilities

• Support Tribal Care and/or PRC referral processing, including coordination of referral documentation, authorization status, scheduling, follow-up, and communication with clinic teams and external partners.
• Manage referral workflows from intake through closure, ensuring referrals progress accurately and efficiently.
• Coordinate the full prior authorization lifecycle, including submission, tracking, follow-up, appeals coordination, and communication of authorization status.
• Facilitate patient scheduling and care coordination across providers, clinics, specialists, payers, and support services.
• Maintain complete and accurate referral records, communication logs, and supporting documentation.
• Monitor referral status and follow-up activities to reduce delays and improve patient access to care.
• Support pre-visit, post-visit, and referral-out activities to ensure continuity of care and successful care transitions.
• Collaborate with patients, providers, clinic staff, and external partners to remove barriers to care and improve the patient experience.

Skills

Referral coordination

Prior authorization

Healthcare navigation

EHR systems

Payer portals

Communication

Organization

Education

High school diploma

Associate's or Bachelor's degree

Tools

Electronic Health Records (EHR)

Referral tracking systems

Payer portals

Job description

Clinic Referral Coordinator

Salary Range: $28.00 - $36.00/hourly depending on experience & location

Location: Remote (prefer based in California)

At Indigenous Pact, we are committed to improving access to quality healthcare services through innovative, patient-centered care coordination. We are seeking a Referral Coordinator who will serve as the central point of accountability for managing referrals from intake through closure and ensuring patients receive timely access to specialty care and related services. The role supports continuity of care, prior authorization management, scheduling, and exceptional patient experiences within a remote healthcare environment.

What You'll Do

As the Referral Coordinator, you will:

- Support Tribal Care and/or Purchased/Referred Care (PRC) referral processing, including coordination of referral documentation, authorization status, specialist scheduling, follow-up, and communication with clinic teams and external partners.

- Manage referral workflows from intake through closure, ensuring referrals progress accurately and efficiently.

- Coordinate the full prior authorization lifecycle, including submission, tracking, follow-up, appeals coordination, and communication of authorization status.

- Facilitate patient scheduling and care coordination across providers, clinics, specialists, payers, and support services.

- Maintain complete and accurate referral records, communication logs, and supporting documentation.

- Monitor referral status and follow-up activities to reduce delays and improve patient access to care.

- Support pre-visit, post-visit, and referral-out activities to ensure continuity of care and successful care transitions.

- Collaborate with patients, providers, clinic staff, and external partners to remove barriers to care and improve the patient experience.

Required Qualifications:

- High school diploma or equivalent.

- Minimum two years of experience in referral coordination, patient navigation, medical office administration, prior authorization, or a related healthcare support role.

- Knowledge of insurance eligibility verification, prior authorization processes, HIPAA requirements, and healthcare documentation standards.

- Experience working with electronic health records, referral tracking systems, and payer portals.

- Strong organizational, communication, problem-solving, and time-management skills.

Preferred Qualifications:

- Associate's or Bachelor's degree in healthcare administration, social work, healthcare management, or a related field.

- Medical Assistant training or certification.

- Experience supporting Tribal Care, Purchased/Referred Care (PRC), or referral processing within tribal health, rural health, or community-based healthcare settings.

- Bilingual English and Spanish proficiency.

- Experience supporting specialty care or telehealth programs.

Work Environment:

- Remote work environment.

- Ability to remain seated and use a computer for extended periods of time.

- Must communicate effectively through phone, video, and electronic communication methods.

- Ability to maintain confidentiality of protected health information and manage competing priorities in a fast-paced environment.

Why Join Indigenous Pact?

Beyond the job opportunity and incredible culture, we also offer:

- Indigenous Pact's PTO Policy includes vacation, wellness and 11+ company-paid holidays

- Competitive benefitsincluding 401(k), Medical, Dental, and Vision insurance

- Open, transparent lines of communication with leadership

- Committed togiving backto improving our communities and environmental impact

- A development-focused environment where you have autonomy to drive your career path

Equal Opportunity Employer

Indigenous Pact is an equal opportunity employer and we are dedicated to fostering an inclusive and barrier-free work environment for all employees and candidates. We are especially interested in candidates with lived experience in, or a demonstrated history of working closely with, Indian Country and Tribal communities. All qualified individuals are encouraged to apply. If accommodation is required during any stage of the recruitment process, please contact any member of our HR team. We thank all applicants for their interest; however, only those selected for interviews will be contacted.