Referral Coordination Specialist

The Gay & Lesbian Community Center of Southern Nevada; Las Vegas (NV); On-site; USD 42,000 - 56,000; Full time

Job summary

The Gay & Lesbian Community Center of Southern Nevada in Las Vegas is seeking a Referral Coordinator to manage patient referrals from order placement to completion. You will work with patients, providers, insurance plans, and outside specialists to coordinate appointments and gather required documentation.

In this role you will verify demographics and coverage, obtain authorizations, track referral status, and ensure notes or results are returned to the clinic, helping reduce delays in care and

Qualifications

• Knowledge of healthcare referrals and prior authorization processes.
• Strong organizational and follow-up skills.
• Ability to communicate clearly with patients, providers, and payers.
• Proficient with computers, payer portals, and EHRs.
• Bilingual English/Spanish 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 escalates 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

EHR (electronic health records)

HIPAA compliance

Bilingual English/Spanish (preferred)

Microsoft Office

Payer portals

Education

High school diploma or GED

Tools

eClinicalWorks

Job description

The Gay & Lesbian Community Center of Southern Nevada in Las Vegas is seeking a Referral Coordinator to manage patient referrals from order placement to completion. You will work with patients, providers, insurance plans, and outside specialists to coordinate appointments and gather required documentation.

In this role you will verify demographics and coverage, obtain authorizations, track referral status, and ensure notes or results are returned to the clinic, helping reduce delays in care and