Referral Coordinator Las Vegas NM

El Centro Family Health

Las Vegas (NM)

On-site

USD 30,000 - 45,000

Full time

4 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 Life
Employee Assistance Program
Flexible Spending Account (FSA)

Job summary

El Centro Family Health is seeking a Referral Coordinator based in Las Vegas, NM. The role involves managing patient referrals, ensuring compliance with healthcare laws, and supporting patients throughout their appointments.

A high school diploma is required, with preference for candidates holding an associate or bachelor's degree in healthcare. The coordinator must be fluent in English and Spanish, and prior medical experience is preferred.

Qualifications

  • High school diploma or GED required, associate or bachelor's degree preferred.
  • Prior medical knowledge or healthcare background preferred.
  • Knowledge of Medicaid, Medicare, and private insurance claims processing.

Responsibilities

  • Complete and submit all records and insurance pre-authorizations on time.
  • Follow healthcare laws and HIPAA guidelines strictly.
  • Answer patient questions and schedule appointments.
  • Use eCW database to log all referral data.
  • Monitor referrals to ensure patients attend appointments.

Skills

Bilingual English/Spanish
Medical terminology
eClinicalWorks knowledge

Education

High school diploma or GED equivalent
Associate or bachelor's degree in healthcare

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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