Referral Coordinator Espanola NM

Nmpca; Espanola (NM); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

401 k Retirement

7 Paid Holidays

Medical, Dental, Vision Insurance

100% Employer Paid Basic Life

Employee Voluntary Supplemental Benefi

Employee Assistance Program

Flexible Spending Account (FSA)

Job summary

El Centro Family Health in Northern New Mexico is seeking a Referral Coordinator to support patients and providers in the referral process for specialty care. You will ensure continuity of care by following health-plan protocols and may provide psychosocial support as needed.

Responsibilities include submitting pre-authorizations, updating the EMR (eCW), and coordinating communication between patients, clinics, and outside providers.

Qualifications

• High school diploma or GED required.
• Associate or bachelor's degree in healthcare preferred.
• Bilingual English/Spanish is preferred.

Responsibilities

• Complete, verify, and submit records and pre-authorizations on time.
• Follow HIPAA and patient privacy rules.
• Answer questions, schedule appointments, and give clear instructions.
• Use eClinicalWorks EMR to update provider lists and log referrals.
• Send medical data to outside clinics and transfer calls to the right provider.
• Monitor referrals to ensure attendance and return of outside records.
• Contact patients who miss appointments and document reasons.
• Assist with other duties and travel as required.

Education

Associate or Bachelor's degree in health care field

High school diploma or GED

Bilingual English/Spanish

HIPAA compliance

EMR systems

Record submission

Tools

eClinicalWorks

Job description

Position Overview:

A Referral coordinator is a member of the patient care team who helps patients and providers with the referral process for specialty care and other referral needs. They ensure continuity of care by following protocols required by health plans. May also provide psychosocial support to individuals, families, and groups with chronic, acute, or terminal illness.

What you will do:

• Complete, verify, and submit all records, forms, and insurance pre-authorizations on time.
• Follow all healthcare laws, HIPAA guidelines, and patient privacy rules strictly.
• Answer patient questions, schedule appointments, and give them clear instructions.
• Use the eCW database and EMR system to update provider lists and log all referral data.
• Send medical data to outside clinics and transfer related phone calls to the right provider.
• Monitor referrals to ensure patients attend appointments and outside records are returned to ECFH.
• Contact patients who miss their appointments and document the reasons why.
• Handle other assigned duties, travel if required, and support ECFH policies.

Minimum requirements

Education:

High school diploma or GED equivalent.

Experience:

None

Preferred Requirements

Education:

Associate or bachelor's degree in the health care field.

Experience:

Medical terminology and health insurance claims, Medicaid, and Medicare.

Minimum of two (2) years' experience, with at least one (1) year experience in a related field.

Bi-lingual- Fluent English/Spanish

Knowledge of eClinicalWorks

Benefits

• 401 k Retirement
• 7 Paid Holidays
• Medical, Dental, Vision Insurance
• 100% Employer Paid Basic Life Insurance
• Employee Voluntary Supplemental Benefits
• Employee Assistance Program
• Flexible Spending Account (FSA)

Who We Are:

As a Federally Qualified Health Center (FQHC) and 501(c)(3) nonprofit, El Centro Family Health is dedicated to providing affordable, accessible, and high-quality healthcare to the people of Northern New Mexico. Our mission is to enhance the quality of life in our community by delivering primary care and health education through a network of clinics and collaborative programs. At El Centro, we are committed to offering vital health services in a compassionate, supportive, and patient-centered environment.

Equal Employment Opportunity Statement:

El Centro Family Health is an equal opportunity employer. We do not discriminate based on race, color, religion, gender, gender identity, sexual orientation, national origin, disability, age, veteran status, or any other protected characteristic. We are committed to fostering a diverse and inclusive workplace for all.