Referral Coordinator

Valley-Wide Health Systems,Inc.; Alamosa (CO); On-site; USD 42,000 - 54,000; Full time

Job summary

Valley-Wide Health Systems, Inc. is seeking a Referral Coordinator to support our clinical care teams by facilitating patient referrals, obtaining pre-authorizations, and ensuring a seamless referral process.

You will coordinate specialty care, manage documentation in the EHR, and provide excellent customer service to patients and healthcare partners, addressing barriers such as transportation or language when needed.

Qualifications

• High School Diploma or equivalent required.
• Two or more years of healthcare experience preferred.
• Strong clinical and administrative skills.
• Culturally competent with experience working with diverse populations.
• Proficient in Microsoft Office and EHR systems.
• Highly accurate, detail-oriented and able to multitask.

Responsibilities

• Obtain pre-authorizations in compliance with payer requirements.
• Ensure referral providers and facilities are in-network based on insurance coverage.
• Coordinate referral scheduling and assist patients with barriers.
• Track and follow up on referrals to ensure patient compliance.
• Acquire specialty notes after appointments.
• Manage diagnostic orders throughout the order cycle.
• Schedule appointments, obtain necessary prior authorizations, and provide timely patient notifications.
• Follow up on pending or incomplete orders, assisting patients in rescheduling as needed.
• Refer patients with barriers to Case Management for additional support.
• Respond to patient inquiries regarding referrals, pre-authorizations, and appointment processes.
• Maintain documentation in the EHR and tracking logs.

Skills

Communication skills

Organization & multitasking

Customer service

Medical terminology

Attention to detail

Time management

Education

High School Diploma or Equivalent

Tools

Microsoft Office

EHR systems

Job description

Join Our Team at Valley-Wide Health Systems, Inc.Valley-Wide Health Systems is seeking a Referral Coordinator to support our clinical care teams by facilitating patient referrals and orders, obtaining pre-authorizations, and ensuring a seamless referral process. This role is essential in coordinating specialty care, managing documentation, and providing excellent customer service to patients and healthcare partners. If you are highly organized, detail-oriented, and passionate about patient care coordination, we encourage you to apply!Key ResponsibilitiesPatient Referrals & Pre-Authorizations:Obtain pre-authorizations in compliance with payer requirementsEnsure referral providers and facilities are in-network based on insurance coverageFacilitate referral scheduling, including direct coordination of appointments and assisting patients with potential barriersTrack and follow up on scheduled and unscheduled referrals to ensure patient complianceAcquire specialty notes following completed appointmentsCommunicate referral status to patients via phone or written correspondenceDiagnostic Order Coordination:Manage and track diagnostic orders throughout the order cycleSchedule appointments, obtain necessary prior authorizations, and provide timely patient notificationsFollow up on pending or incomplete orders, assisting patients in rescheduling as neededRefer patients with barriers (transportation, language, financial, etc.) to Case Management for additional supportCustomer Service & Communication:Provide excellent customer service to both internal teams and external healthcare partnersRespond to patient inquiries regarding referrals, pre-authorizations, and appointment processesEnsure proper documentation in the Electronic Health Record (EHR) system and maintain tracking logsQualifications & SkillsEducation: High School Diploma or EquivalentExperience:Two or more years of healthcare experience preferredStrong clinical and administrative skillsCulturally competent with experience working with diverse populationsTechnical Skills:Intermediate proficiency in Microsoft Office and EHR systemsHigh degree of accuracy, attention to detail, and multitasking abilityOther:Professional demeanor with strong communication skillsAbility to prioritize tasks and manage time efficientlyWhy Join Valley-Wide?Valley-Wide Health Systems, Inc. is dedicated to providing high-quality, patient-centered healthcare to all individuals across our multi-county service area in southern Colorado. As a non-profit, Federally Qualified Health Center (FQHC), we offer premier primary and preventive care through our 34 service sites strategically located in rural communities.We offer a comprehensive benefits package, including:Free Health Insurance (additional plan options available)Employer-paid Air Ambulance Coverage (MASA)Employer-paid Basic Life, LTD, STDRetirement MatchHealth, Dental, Vision Insurance, HRA, FSA, DCA, Retirement PlanPaid Leave:Vacation: 10 days accrued per yearSick Leave: 12 days accrued per yearHolidays: 7 days per year + 3 Floating HolidaysFor more information and to apply, visit our website: Valley-Wide CareersEqual Opportunity Employer Statement: Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, or any other status protected by law. All qualified applicants will receive equal opportunity, with hiring decisions based on job-related factors.Employee Rights Under the Family and Medical Leave Act (FMLA) For more information on employee rights under FMLA, please visit: FMLA Employee Rights