Referral Coordinator- Remote

Carilion Clinic; Roanoke (VA); Remote; USD 24,000 - 34,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Pension Plan

Paid Time Off

Onsite Fitness/Wellness

Health app access

Childcare discounts

Education & training

Job summary

Carilion Clinic is seeking a Remote Referral Coordinator to manage referrals, authorizations, and medical records for a centralized referral organization. The role emphasizes accurate data handling, excellent patient service, and collaboration across departments.

Typical hours are 8:00 a.m. - 5:00 p.m. Monday–Friday, with remote flexibility as noted. Requires healthcare experience, Associate degree, and Virginia MLTSS certification; comprehensive benefits accompany the role.

Qualifications

• Associate degree or equivalent combination of education or equivalent 4 years of experience required.
• Experience in Healthcare practice setting preferred.
• Virginia MLTSS (UAI) Certification required to complete orientation and maintained throughout employment.
• Advanced computer skills with Microsoft Word, Excel, Access, and related office software; strong communication and organization.

Responsibilities

• Schedule referral requests, including patient visits, testing, procedures and surgeries.
• Coordinate referral authorizations and manage medical records as required.
• Ensure insurance, demographic and eligibility data are accurate in the system.
• Provide high level customer service to patients, staff and external partners.
• Verify referral and authorization requirements and complete processes within required timeframes.
• Support team with data entry, reporting, and department projects as directed.
• Communicate effectively with management, clinical staff and external entities.
• Direct patients to appropriate facilities and offices as needed.

Education

Associate degree

Virginia MLTSS Certification (UAI)

4 years experience (healthcare)

Tools

Microsoft Word

Microsoft Excel

Microsoft Access

Job description

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Employment Status

Full time

Shift

Day (United States of America)

Facility

1906 Belleview Ave SE - Roanoke

Requisition Number

R162786 Referral Coordinator- Remote (Open)

How You’ll Help Transform Healthcare

The following states may be considered for a remote schedule: Alabama, Florida, Georgia, Arkansas, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, West Virginia, and Virginia

HOURS: Monday - Friday; Primarily 8:00 a.m. - 5:00 p.m.

The Referral Coordinator is accountable for performing core job responsibilities related to referrals, such as: scheduling, referral authorization and/or medical record maintenance, for a practice, clinic, and/or department. Accountable for accurate and efficient coordination of care related to screening, diagnostic, or therapeutic testing, and consultative and therapeutic referral scheduling. Performs additional functions related to front office operations to meet specific needs of the team, practice, or department. Serves as a resource person for patient, physician, office staff, various facilities, service lines, and outside agencies utilizing effective communication, courtesy, confidentiality and professionalism in all interactions.

This is Carilion Clinic ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

• Ensures all referral requests are scheduled timely and in accordance with established procedures. Includes the scheduling of patient visits, testing, procedures and surgeries.
• Maintains thorough knowledge of clinical information system(s) for patient scheduling, registration, and reporting functions.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the appropriate system(s) accurately and in accordance with established procedures.
• Provides the highest level of customer service to patients, visitors, clinical staff and fellow employees. Adheres to customer service policies and standards as set forth by management at all times.
• Verifies referral and authorization requirements are met according to insurance and policy standards. Completes referral process within required timeframe.
• Provides support to other members of the team, practice, or department as it relates to administrative work, data collection and entry, medical record review and management, and report completion. Participates in special department projects as assigned by the Site Manager/Director.
• Provides patients and visitors with directions to other facilities and offices as needed.
• Communicates with management, clinical staff, and other internal and external customers.
• Maintains effective written and oral communications with a diverse population.
• Schedule is often interrupted and workload priorities changed. Operates a variety of office equipment. Maintains confidential information.
• Handles difficult situations with tact and diplomacy.
• This position involves direct interactions and contact with patients, visitors, hospital staff, vendors, providers and the general public. This may be, but not limited to, office space, patient care areas and hospital rooms.
• Criteria for Position Availability
• Job responsibilities are 100% related to referrals and authorizations.
• Part of the centralized referral organization structure.
• Performance Expectations
• Score of at least 90% on 2 consecutive referral audits.
• Completion of basic and advanced referral coordinator Epic classes.
• Attend required referral coordinator meetings as directed by supervisor.
• Engagement in referral coordinator Teams platform to include any of the following:
• o Pose questions
• o Check messages
• o Participate in discussion
• o Provide recommendations
• o Complete assignments
• Participates in on-going referral related education and training.
• Serves as a resource to assist with referral related questions and guidance.

What We Require

Education:

Associate degree or equivalent combination of education or equivalent 4 years of experience required.

Experience:

Experience in Healthcare practice setting preferred.

Licensure, Certification, And/or Registration:

Virginia MLTSS (UAI) Certification required to complete orientation and must be maintained throughout employment.

Other Minimum Qualifications:

Advanced computer skills with knowledge of a variety of software programs, including Microsoft word, Excel, Access, word processing, spreadsheets and presentation or database software. Excellent communications and organizational skills required.

This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Compensation Range:

$17.39 - $24.35

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Benefits, Pay And Well-being At Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.

Benefits

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies