Referral Coordinator Las Vegas NM

Nmpca

Las Vegas (NM)

On-site

USD 36,000 - 52,000

Full time

10 days ago

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Benefits offered by this job

401 k Retirement
7 Paid Holidays
Medical, Dental, Vision Insurance
100% Employer Paid Basic LifeInsurance
Employee Voluntary SupplementalBenefi

Job summary

El Centro Family Health is seeking a Referral Coordinator to support the referral process for specialty care, critical care management, and other needs. The role ensures continuity of care by following health plan protocols and may provide psychosocial support as needed.

Based at Las Vegas, NM, the coordinator will verify records, assist patients, and manage referrals within the EMR. Strong bilingual English/Spanish and familiarity with Medicaid/Medicare is preferred.

Qualifications

  • High school diploma or GED required.
  • Associate or Bachelor's degree in healthcare preferred.
  • Prior medical knowledge is a plus.
  • Bilingual English/Spanish preferred.

Responsibilities

  • Complete, verify, and submit records, forms, and pre-authorizations on time.
  • Follow HIPAA rules and patient privacy guidelines.
  • Answer questions, schedule appointments, and give clear instructions.
  • Use the eCW EMR system to update provider lists and log referrals.
  • Send medical data to outside clinics and transfer calls to the right provider.
  • Monitor referrals to ensure patient attendance and record return.
  • Contact patients who miss appointments and document reasons.
  • Handle other duties as assigned and support policies.

Skills

Referral coordination
Patient communication
HIPAA compliance
Bilingual English/Spanish

Education

High school diploma or GED
Associate or Bachelor's degree in healthcare

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, critical care management 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.
Location & Travel

Based at Las Vegas NM

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: Prior medical knowledge or healthcare background preferred. Familiarity with medical terminology and processing Medicaid, Medicare, and private insurance claims.

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.

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