Referral Coordinator

habitathealth; Sacramento (CA); Presencial; USD 30.000 - 34.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

401(k) with match

Paid time off

Paid holidays

Parental leave

Descripción de la vacante

Habitat Health in Sacramento, CA, onsite, is hiring a Referral Coordinator. The role focuses on accurate data entry of referral requests, follow-up on referrals, and coordination of care with specialists, hospitals, and providers to ensure timely access to specialty care.

The position requires a high school diploma or GED, at least 2 years of experience, strong organizational skills, and proficiency with EHR systems. Bilingual skills and healthcare certifications are a plus.

Formación

• High school diploma or GED required.
• Minimum of 2 years of experience.
• Strong organizational and multitasking abilities.
• Excellent communication and interpersonal skills.
• Proficiency in using EHR systems and healthcare-related software.
• Knowledge of medical terminology, insurance processes, and healthcare regulations.
• Reliable transportation; mileage reimbursement provided.

Responsabilidades

• Enter referrals into the appropriate portal and follow up on referrals.
• Coordinate with specialists, hospitals, and providers for patient appointments.
• Verify referral information for accuracy and HIPAA compliance.
• Serve as primary contact for patients, providers, and insurers regarding referral status.
• Maintain patient records in the EHR system and obtain necessary authorizations.
• Prepare and submit reports on referral activities and outcomes.
• Visit outside healthcare offices for relationship-building as needed.

Conocimientos

EHR proficiency

Medical terminology

HIPAA compliance

Organizational skills

Communication skills

Time management

Educación

High school diploma or GED

Associate's degree in healthcare

Medical Assistant certificate

Herramientas

EHR systems

Descripción del empleo

Habitat Health empowers older adults to experience more good days in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, and in ‑ home assistance. We deliver coordinated clinical and social care in our centers and directly in participants' homes, creating a fully integrated experience that brings peace of mind and a true sense of belonging. As we expand our scalable, affordable PACE model to meet the growing and complex needs of aging populations, our mission ‑ driven care teams continue to help participants live well on their own terms.

Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults. To learn more, visit www.habitathealth.com.

Role Scope

The Referral Coordinator position is responsible for accurate and timely data entry of referral requests into the appropriate portal. They are also responsible for follow-up on all specialty referrals and coordination of care for urgent referrals. The referral coordinator is an integral part of the care team, working as a liaison between the patient, providers, utilization management and various departments to ensure timely access to specialty care.

Core Responsibilities & Expectations for the Role

• Contribute to a center experience that Participants want to spend time in, a team culture that cares and creates joy, and an environment where all participants and team members belong.
• Continue to raise the bar. Constructively seek and share feedback, and help us implement changes in order to improve clinical outcomes and experience for participants.
• Exhibit and honor Habitat's values.
• Receive, review, and process referral requests from healthcare providers.
• Coordinate with specialists, hospitals, and other healthcare providers to schedule patient appointments.
• Ensure all referral information is accurate, complete, and compliant with healthcare regulations.
• Serve as a primary point of contact for patients, providers, and insurance companies regarding referral status.
• Provide patients with information on referral processes, appointment details, and any required pre-appointment preparations.
• Maintain effective communication with healthcare providers to ensure timely updates on referral statuses.
• Verify and update patient records in the electronic health record (EHR) system.
• Ensure all referral documentation, including medical records and insurance authorizations, is accurately maintained.
• Prepare and submit reports on referral activities and outcomes.
• Verify insurance coverage and obtain necessary authorizations for referred services.
• Work with insurance companies to resolve any issues related to coverage or authorization.
• Assist patients with understanding their insurance benefits related to referrals.
• Ensure compliance with all relevant healthcare regulations, including HIPAA.
• Maintain patient confidentiality at all times and ensure that all patient information is handled in a secure and confidential manner.
• Visit outside healthcare offices for relationship‑building purposes, as needed.
• Performs related duties as assigned.

Required Qualifications

• High school diploma or GED required.
• Minimum of 2 years of experience.
• Strong organizational and multitasking abilities.
• Excellent communication and interpersonal skills.
• Proficiency in using EHR systems and other healthcare-related software.
• Knowledge of medical terminology, insurance processes, and healthcare regulations.
• Reliable and timely transportation to and from primary work location, and other locations to fulfill responsibilities listed. Reimbursement will be provided according to company mileage policy.

Preferred Qualifications

• Associate's or Bachelor's degree in healthcare administration, medical assisting, or a related field preferred.
• Medical Assistant certificate.
• Bilingual: Spanish/Mandarin/Cantonese preferred.
• A state issued driver's license, personal transportation, and auto insurance as required by law.

Location

Sacramento, CA (Onsite)

Compensation

The anticipated base salary range for this position is $22.00 - $25.00per hour. T he final compensation offered will be determined based on factors including, but not limited to, the candidate's qualifications, skills, experience, education, certifications, geographical location, and business needs. In addition, this position is eligible for a comprehensive benefits package, including medical, dental, and vision insurance; paid parental leave, short- and long-term disability coverage; life insurance; flexible spending accounts; a 401(k) savings plan that includes a match; paid time off; and company paid holidays.

At-Will Employment