Referral Coordinator Team Lead

Vmfl Medical Centers Llc; Town of Florida (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Vmfl Medical Centers Llc is seeking a Referral Coordinator Team Leader to oversee the daily operations of the referral coordination team, ensuring timely and accurate processing of patient referrals. You will provide leadership, guidance, and support to coordinators while maintaining strong communication with providers, clinics, and patients.

This role monitors productivity, ensures compliance with policies and payer requirements, and participates in training and performance development.

Qualifications

• High school diploma or equivalent required.
• Minimum of two years of relevant work experience.
• Experience with Web IVRs and managing authorizations for multiple payers preferred.
• Background in healthcare or clinical settings, Medicare HMO populations a plus.
• Customer service experience required.
• Leadership or supervisory experience within a healthcare setting strongly preferred.
• Knowledge of HIPAA regulations and patient confidentiality practices.

Responsibilities

• Supervise and support the daily activities of the referral coordination team.
• Serve as the main point of contact for complex or escalated referral issues.
• Review and assign referrals to coordinators based on workload and priority.
• Ensure referrals are processed accurately and within required timeframes.
• Monitor referral queues and follow up on pending or incomplete requests.
• Maintain up-to-date knowledge of insurance authorizations, referral requirements, and network providers.
• Track and report team productivity, accuracy, and turnaround times.
• Conduct regular team meetings to review updates, provide feedback, and reinforce process standards.
• Assist with onboarding and training of new referral coordinators.
• Participate in audits and quality improvement initiatives.
• Ensure patient confidentiality and compliance with HIPAA regulations.
• Support and assists the referral coordination team with processing referral authorizations as needed to ensure accuracy and timely completion.

Skills

Medical terminology

Referral workflows

Insurance authorizations

HIPAA compliance

EHR systems

Time management

Communication

Bilingual English/Spanish

Education

High school diploma or equivalent

Tools

Microsoft Office

Fax platforms

Job description

Job SummaryThe Referral Coordinator Team Leader oversees the daily operations of the referral coordination team to ensure timely and accurate processing of all patient referrals. This role provides leadership, guidance, and support to referral coordinators while maintaining strong communication with providers, clinics, and patients to ensure a smooth and efficient referral process. The Team Leader is responsible for monitoring productivity, ensuring compliance with company policies and payer requirements, and assisting with training and performance development.Job ResponsibilitiesSupervise and support the daily activities of the referral coordination team.Serve as the main point of contact for complex or escalated referral issues.Review and assign referrals to coordinators based on workload and priority.Ensure referrals are processed accurately and within required timeframes.Monitor referral queues and follow up on pending or incomplete requests.Maintain up-to-date knowledge of insurance authorizations, referral requirements, and network providers.Track and report team productivity, accuracy, and turnaround times.Conduct regular team meetings to review updates, provide feedback, and reinforce process standards.Assist with onboarding and training of new referral coordinators.Participate in audits and quality improvement initiatives.Ensure patient confidentiality and compliance with HIPAA regulations.Supports and assists the referral coordination team with processing referral authorizations as needed to ensure accuracy and timely completion.Education and ExperienceHigh school diploma or equivalent required.Minimum of one (2) year of relevant work experience.Experience with Web IVRs and managing authorizations for multiple payers preferred.Background in healthcare or clinical settings, especially within Medicare HMO populations, is a plus.Customer service experience required.Leadership or supervisory experience within a healthcare setting strongly preferred.Knowledge, Skills & ProficienciesProficient in medical terminology, referral workflows, and insurance authorization procedures.Familiarity with healthcare systems, insurance verification, and referral management tools.Knowledge of HIPAA regulations and patient confidentiality practices.Experience working with EHR systems.Strong communication, time management, and multitasking skills.Strong understanding of insurance authorization, medical terminology, and referral requirements.Excellent communication, interpersonal, and problem-solving skills.Proficiency in EHR systems, fax platforms, and Microsoft Office (Excel, Outlook, Word).Demonstrated ability to prioritize tasks and meet deadlines in a fast-paced environment.Bilingual (English/Spanish) preferred.Physical Requirements/Working EnvironmentProlonged periods of sitting and computer use.Frequent use of office equipment including fax, scanners, and telephones.Fast-paced environment requiring task prioritization and timely follow-up.Primary patient interaction is via phone for appointment coordination and follow-up.AHCA RequirementsThis position may require successful completion and maintenance of an AHCA Level 2 background screening in accordance with Florida healthcare regulations. Candidates must be able to meet all eligibility and compliance requirements prior to employment.For additional information regarding AHCA background screening requirements, please visit:https://ahca.myflorida.com/