Referral Coordinator

Job Title: Referral Coordinator

Location: Administrative Services Building, La Junta CO

Supervisor: Referral Coordinator Specialist

FLSA Status: Non Exempt

FTE: 1.0

Discover an exciting opportunity as a Referral Coordinator, where you’ll play a vital role in ensuring smooth patient care transitions. Join our healthcare team and utilize your organizational skills and strong communication abilities to manage referrals, coordinate care, and contribute to enhancing the patient experience.

Job Summary: Referral Coordinators manage patient referrals, facilitate communication between healthcare providers, and ensure smooth transitions of care. This role demands strong organizational skills, attention to detail, and effective communication for optimizing patient care and operational efficiency within healthcare settings.

Responsibilities & Essential Function

• Responsible for facilitating patient referrals and obtaining pre-authorizations.
• Completes pre-authorization in accordance to patient’s payer source requirements.
• Confirms specialist/facility is in-network according to payer source.
• Facilitates referral scheduling
• Unscheduled referrals - assists to coordinate or to directly schedule specialty appointment, under direction of ordering Provider ensures PHI is sent to specialist, document all activity within order & PHI log, and help to identify patient barriers and escalate to case management as needed.
• Scheduled referrals - ensure patient compliance with scheduled appointment, follows measures outlined within workflow for missed, cancelled or declined appointments.
• Assists in acquiring specialty notes once appointment has been kept.
• Provides superb customer service to all customers internally and externally
• Contacts patient via phone or in writing to advise of referral status.
• Provide timely response to patients on the status of obtaining prior authorization from insurance companies.
• Responds to patient inquires and concerns with regards to the pre-authorization and referral appointment process.
• Refers patients with identified barriers, i.e. transportation, language, etc. to Case Management staff to help address patient needs.
• Coordinates all diagnostic orders in conjunction with workflow. Accurately documents tracking of orders daily and throughout the order cycle.

Qualifications & Skills:

• High School Diploma Required
• Demonstrates accuracy and high attention to detail
• Ability to multi-task
• Proficient in use of office equipment i.e 10-key, e-mail, fax machine
• Computer skills with an emphasis on Excel and Microsoft programs, experience in computerized accounting software preferred.
• 2 years’ experience in healthcare, human services, customer service, or related field
• Colorado driver’s license: ability and willingness to drive/travel; and ability to maintain insurability under the agency’s fleet insurance.
• Previous medical office experience and bilingual skills are preferred

Location & type of job: This job is a full-time onsite job located in La Junta, Colorado.

Hourly Range & Benefits: $16.00 - $19.09

• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• MASA – Employer paid Air Ambulance Coverage
• Paid Leave: Vacation – 10 days accrued/year, Sick – 12 days accrued/year, Holidays – 8 days/year
• Retirement Employer match after one year of employment
• Employer paid Basic Life, LTD, STD
• Local Gym Discounts
• Free Employee Assistance Program
• Wellness Program with opportunity to earn 8 hours off during the fiscal year
• Cell phone discounts
• Volunteer paid time off (up to 8 hours per fiscal year)

About us: Valley-Wide Health Systems is committed to providing, high-quality, safe, effective and integrated health care services in a respectful and inclusive manner for all with special consideration for medically underserved populations. Our services include primary care, dental care, physical therapy, pharmacy and behavioral health services in the San Luis and Arkansas Valley in Southern Colorado.

At Valley-Wide, all employees foster a culture of patient and family centered care, service, quality and safety excellence, while improving patient experience, employee experience and community relations.

Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer:

We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Employee Rights Under the Family and Medical Leave Act (FMLA)