Referral & Care Access Coordinator

The LGBTQ+ Center of Las Vegas; Las Vegas (NV); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

403(b) match

Health insurance

Dental

Vision

EAP

PTO

Paid holidays

Floating holidays

Birthday time

Job summary

The LGBTQ+ Center of Las Vegas is seeking a Referral Coordinator to manage patient referrals from order placement to completion. This role collaborates with patients, providers, insurers, and outside specialists to coordinate appointments, obtain authorizations, send clinical notes, and ensure results return to the clinic.

The position focuses on reducing delays in care, documenting activity in the EHR, and maintaining HIPAA compliance while supporting access to care.

Qualifications

• Experience coordinating medical referrals and prior authorizations.
• Knowledge of insurance verification and eligibility requirements.
• Experience with electronic health records and patient confidentiality.
• Bilingual English/Spanish is preferred.

Responsibilities

• Review and process referral orders from providers in a timely manner.
• Verify patient demographics, insurance coverage, network requirements, and referral or prior authorization requirements.
• Obtain prior authorizations when required and document authorization numbers, effective dates, and status in the electronic health record.
• Identify appropriate specialists, imaging centers, and other outside services based on provider orders, insurance requirements, and patient needs.
• Send referral orders, clinical notes, laboratory results, imaging, and other supporting documentation to receiving organizations.
• Assist patients with referral scheduling and provide clear information about next steps, location, preparation, and required documentation.
• Track open referrals and follow up with patients and outside offices to confirm scheduling and completion.
• Obtain consultation notes, diagnostic reports, and other referral results and route them to the ordering provider for review.
• Document referral activity, patient communication, authorization status, and completion in the electronic health record.
• Follow up on missed, delayed, denied, or incomplete referrals and elevate barriers or urgent concerns to the appropriate clinical team member.
• Communicate with providers, medical assistants, front office staff, patients, insurance plans, and external partners to support continuity of care.
• Maintain patient confidentiality and follow HIPAA, clinic policies, and established referral workflows.
• Participate in staff meetings, training, and quality improvement activities related to referral completion and access to care.
• All other duties as assigned.

Skills

Referral coordination

Insurance verification

Prior authorization

HIPAA compliance

EHR systems

Bilingual English/Spanish

Education

High school diploma or GED

Tools

eClinicalWorks

Microsoft Office

Payer portals

Job description

The LGBTQ+ Center of Las Vegas is seeking a Referral Coordinator to manage patient referrals from order placement to completion. This role collaborates with patients, providers, insurers, and outside specialists to coordinate appointments, obtain authorizations, send clinical notes, and ensure results return to the clinic.

The position focuses on reducing delays in care, documenting activity in the EHR, and maintaining HIPAA compliance while supporting access to care.