Referral Coordinator

Central Health

. Monitor templates for appointment availability .

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing the referral process, including obtaining authorizations and maintaining compliance with healthcare regulations. Proficient in utilizing electronic health record systems and ensuring accurate documentation while fostering collaborative relationships with patients and healthcare teams.

Highest-signal resume keywords

Referral Process KnowledgeElectronic Health Record (EHR) SystemsInsurance Regulations KnowledgeVerbal And Written Communication SkillsHealthcare Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryAppointment SchedulingInsurance VerificationReferral AuthorizationDocumentation Management

Soft Skills

Problem-SolvingTeam CollaborationRelationship BuildingTraining And Orientation

Tools & Technologies

EPICPatient Record SystemsSpreadsheetsWord Processing

Certifications & Qualifications

High School Diploma Or Equivalent

Industry Keywords

HealthcarePatient-Centered CareQuality StrategiesRegulatory ComplianceJoint Commission Standards

About the role

Key responsibilities & impact

Monitor templates for appointment availability
Orient and train new referral department team members under the direction of the Triage and Referral Nurse Manager
Schedule appointments according to clinic guidelines
Audit referral team records as needed
Gather insurance and financial information to determine patient financial responsibility
Obtain referral authorizations for specialty services and communicate authorizations or denials to patients and providers
Resolve pre-authorization, registration, and other referral-related issues before appointments
Contact patients verbally or in writing according to protocol
Maintain updated referral resources
Complete and uphold referrals through the full referral process
Follow referral Standard Operating Procedures
Address PCP referral requests in a timely manner
Complete documentation in EPIC and keep patient records current and complete
Attend team huddles, scheduled meetings, and seminars
Participate in quality strategies and evaluate compliance with evidence-based guidelines
Ensure patient-care and administrative tasks comply with regulatory, accreditation, Joint Commission, and organizational standards
Develop favorable relationships with clinical managers, support staff, providers, business office staff, patients, and families
Collaborate with the care team to provide patient-centered care
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or equivalent
Three years’ experience in the healthcare field, including one year experience as a Medical Assistant, Medical Administrative Clerk, Patient Services Representative, or Dental Assistant
Ability to utilize computers for data entry and information retrieval
Excellent verbal and written communication skills
Knowledge of federal, state, and local insurance regulations
Knowledge of the referral process for a variety of insurance plans
Success in researching and resolving complex issues
Familiarity with electronic devices and GUIs common in healthcare environments, including spreadsheets, word processing, patient record systems, and EHR systems
Ability to meet defined productivity standards
Maintain required licensure and/or certification requirements for continuing education and best practices