Benefits:
- Health insurance
- Opportunity for advancement
- Paid time off
- Training & development
- Vision insurance
- Wellness resources
About Us: The Good Shepherd Community Clinic, Inc. is building healthy people through whole-patient wellness and trauma informed care. Our proactive focus and integrated approach to caring for the whole person allows the GSCC to provide quality and affordable health, dental, and pharmaceutical care to thousands of patients each year without regard for socio-economic or insurance status. Good Shepherd team members are passionate about making a difference in our patients’ lives. We are a driven, focused, innovative, hardworking, respectful team that is focused on working as one to improve the lives of our patients.
Mission: The GSCC exists so that the working poor and others who lack healthcare access receive quality care and improved health outcomes.
Vision: Empowering Well-Being
Core Values: Love, Respect, Fight, Resilience and Flexibility
Job Overview: The Referral Coordinator is responsible for managing and tracking internal and external patient referrals to ensure timely and appropriate access to specialty, diagnostic, and support services. This role plays a critical part in the continuity of care by processing referrals, obtaining authorizations, closing referral loops, and supporting communication between the care team, patients, and outside providers. The Referral Coordinator ensures accurate documentation and contributes to performance metrics related to care coordination and quality improvement.
Why Work With Us:
- Collaborative Care Teams: Work alongside a multidisciplinary team of healthcare professionals in a supportive and dynamic environment.
- Patient-Centered Care: Focus on building meaningful relationships with patients, guiding them through their healthcare journey.
- Community Impact: Make a tangible difference in patients' lives by ensuring they receive the care they need, regardless of financial or social barriers.
- Professional Growth: We believe in empowering our team members to develop their skills and advance within the organization.
What You'll Do:
- Referral Processing
- Receive and process referral orders from providers in the electronic health record (EHR)
- Confirm necessary documentation, diagnosis codes, and insurance requirements
- Submit referrals and prior authorizations as required
- Maintain accurate referral records and logs
- Referral Tracking & Follow-Up
- Monitor the status of pending and active referrals
- Track referral completion by obtaining consult notes or follow-up confirmation
- Communicate with patients regarding appointment status, location, and preparation
- Contact external providers or specialists to verify appointment completion and documentation return
- Documentation & Closure
- Ensure referral details, actions taken, and outcomes are properly documented in the EHR
- Close referral orders in a timely manner once completed or canceled
- Identify incomplete or delayed referrals and escalate to appropriate staff or team lead
- Collaboration & Communication
- Work closely with Care Coordinators to ensure follow-through and patient engagement
- Collaborate with providers, RN Care Managers, and front desk staff to resolve barriers
- Communicate clearly with patients regarding instructions, delays, or follow-up needs
- Assist with coordination for internal specialty services as applicable
- Quality & Compliance
- Maintain accuracy in documentation, coding, and authorization notes
- Follow HIPAA and organizational privacy policies
- Participate in quality improvement efforts related to referral workflows and loop closure
What Success Looks Like
Your performance will be measured by:
- Referral Completion Rate (% of referrals that result in documented appointments)
- Referral Processing Time (Avg. time from order to referral submission)
- Referral Closure Rate (% of referrals with returned documentation)
- No-Show Referral Rate (% of referred patients who miss appointments)
- Incomplete Referral Rate (% of referrals without patient follow-through)
- Prior Authorization Approval Rate
- Documentation Accuracy Rate (% of referrals correctly documented in EHR)
What You’ll Need to Succeed
- Education & Experience
- High school diploma or equivalent required; associate’s degree preferred
- 1+ year experience in medical office, care coordination, or referral coordination
- Familiarity with insurance requirements and prior authorization processes
- Experience with EHR systems (e.g., NextGen, EPIC, eClinicalWorks, Athena) preferred
- Skills & Attributes
- Strong organizational and time management skills
- Excellent communication and interpersonal abilities
- Proficient with computers, documentation, and multitasking
- Ability to manage high volume and fast-paced workflows
- Commitment to patient service and confidentiality
Work Environment
- Based in clinic and office settings
- Regular use of computers, phones, and EHR systems
- Occasional travel between clinic sites may be required