Referral Coordinator

Foundcare Inc; West Palm Beach (FL); On-site; USD 36,000 - 52,000; Full time

Job summary

FoundCare Inc. is seeking a Referral Coordinator to manage patient referrals to specialists, verify active insurance, and coordinate appointments. The role emphasizes HIPAA compliance, documentation, and effective communication with patients, providers, and insurance companies.

The position supports seamless care coordination across FoundCare locations, requiring teamwork, attention to detail, and proficient use of EMR systems. Travel to other FoundCare sites may be necessary.

Qualifications

• Bachelor's degree preferred in health services admin or health science.
• Minimum 1 year assisting patients with medical referrals.
• Typing speed 30 wpm+.
• Experience with an EMR system preferred.

Responsibilities

• Coordinate referrals to specialists and providers.
• Obtain and verify insurance authorization; track activity.
• Schedule appointments to coordinate patient care where needed.
• Maintain accurate referral tracking and documentation.
• Provide clinical background to specialists per referral guidelines.
• Communicate with providers to close referral loops and document outcomes.
• Review referral details with patients; clarify expectations.
• Ensure HIPAA confidentiality and regulatory compliance.

Skills

Communication

Organizational skills

PC proficiency

Attention to detail

Leadership & program management

Multitasking

Teamwork

English language proficiency

HIPAA compliance

Education

Bachelor's degree in Health Services Administration or Health Science

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Description

PRIMARY PURPOSE:

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.

Patient Support & Communication:

• 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.

Requirements

MINIMUM QUALIFICATIONS:

Education:

• College degree (preferred: Bachelor’s in Health Services Administration or Health Science).
• This role is not eligible for visa sponsorship.

Experience:

• Minimum of one (1) year assisting patients with medical referrals.
• Type minimum of 30 words-per-minute.
• Proficiency in Microsoft Outlook, Word, and Excel.
• Referral experience with an electronic medical record (EMR) system is preferred.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Strong verbal and written communication.
• Excellent organization and time management.
• PC proficiency.
• Attention to detail.
• Ability to build rapport with patients, providers, and staff.
• Strong customer service orientation.
• 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.