Referral Coordinator

FoundCare, Inc.; Palm Springs (CA); On-site; USD 42,000 - 65,000; Full time

Job summary

FoundCare, Inc. seeks a detail-oriented Referral Coordinator to manage patient referrals to specialists and other providers. You will obtain insurance authorization and verify coverage while coordinating appointment scheduling to support patient care.

Maintain accurate referral records, communicate with providers, and ensure proper documentation. Strong organization, teamwork, and English communication are essential to success in this role.

Qualifications

• Minimum of one year assisting patients with medical referrals.
• Proficient typing and data entry.
• Excellent MS Outlook, Word, and Excel skills.
• Strong understanding of HIPAA confidentiality and compliance.

Responsibilities

• Manage patient referrals to specialists and other providers.
• Obtain insurance authorization and verify active coverage.
• Schedule appointments to coordinate patient care.

Skills

Organization

Time management

Rapport building

Leadership

Program management

Multitasking

English communication

Training comprehension

HIPAA compliance

Diversity awareness

Education

Bachelor's in Health Services Administration

Bachelor's in Health Science

Tools

EMR system experience

Job description

Managing the referral process efficiently to ensure patients and caregivers receive timely and appropriate specialist care. Plays a fundamental role in the healthcare system in facilitating seamless communication between patients, primary care providers, specialists and insurance companies.

ESSENTIAL JOB FUNCTIONS:

Referral Coordination:

• Managing patient referrals to specialists and other healthcare providers.
• Obtaining insurance authorization while verifying that the insurance is still active.
• Scheduling appointments, if needed, to coordinate patient visit care.
• Maintain accurate referral tracking and documentation for patient safety.
• Gather and provide relevant clinical background to specialists, per referral guidelines.

Insurance & Financial Navigation:

• Obtain insurance authorization if needed.
• Prompt follow-up on all referrals and track progress.
• Communicating with providers to close referral loops and ensure proper documentation.
• Update record to reflect completed referrals and outcomes.
• Review referral details and expectations with patients.

Administrative & Compliance Duties:

• Ensure adherence to HIPAA confidentiality standards to protect patient information.
• Follow healthcare regulations to maintain ethical and legal compliance.
• Implement best practices for secure communication and data handling.
• Stay updated on emerging professional information.
• Comply with all FoundCare policies and procedures.
• Performs other duties as assigned.

Requirements

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Excellent organization and time management.
• Ability to build rapport with patients, providers, and staff.
• Strong leadership and program management skills.
• Ability to multitask, work independently, and collaborate as part of a team.
• Ability to read, write, and effectively communicate in the English language, with or without the use of auxiliary aids or services.
• Ability to review, understand, and apply concepts presented in training programs, conferences, and/or professional literature.
• Educated on and compliant with HIPAA regulations; maintains strict confidentiality of client information.
• Ability to interact and work with diverse populations.

PHYSICAL REQUIREMENTS:

• Ability to endure short, intermittent, and/or long periods of sitting and/or standing in performance of job duties.
• Full range of body motion required. Position requires reaching, bending, and handling objects with hands and/or fingers, talking and/or hearing, and seeing.
• Ability to lift and carry objects weighing 25 pounds or less.
• Accomplish job duties using various types of equipment/supplies, e.g. pens, pencils, calculators, computer keyboard, telephone, etc.
• Ability to travel to other FoundCare locations and perform job duties.
• Ability to travel to other locations to attend meetings, workshops, and seminars, plus travel to other FoundCare departments and FoundCare conference rooms.

MINIMUM QUALIFICATIONS:

• Minimum of one (1) year assisting patients with medical referrals.
• Type minimum of 30 words-per-minute.
• Proficiency in Microsoft Outlook, Word, and Excel.
• Preferred: Bachelor’s in Health Services Administration or Health Science.
• Preferred: Referral experience with an electronic medical record (EMR) system.
• This role is not eligible for visa sponsorship.