Referral Coordinator

Position Summary

The Referral Coordinator is responsible for the coordination and processing of patient referrals for specialty services, diagnostic testing, and other outpatient services for multiple primary care providers, obtaining insurance authorization when needed, and maintaining ongoing tracking and documentation of referral coordination activities and status.

Nevada Health Centers is an employer of choice and offers comprehensive benefits, including but not limited to:

• • Competitive compensation, with annual merit increases
  • Company sponsored PPO medical plan and buy-up option, vision, and dental plans
  • 403(b) retirement plan with employer match
  • Generous time-off policy, and ten (10) paid holidays plus one (1) float holiday
  • Company paid life/AD&D and long-term disability policies

Essential Duties and Responsibilities

• Provides exceptional customer service to both internal and external customers.
• Coordinate all primary care referrals to designated site (e.g., specialty services, diagnostic testing, and other outpatient services)
• Act as a patient liaison/advocate, to ensure optimal patient experience in assessing NVHC services and referred care
• Obtain prior authorization as needed
• Attend required meetings and participate in committees as requested.
• Completes appropriate patient documentation in electronic medical records.
• Maintain constant and proactive communication with the patient regarding referral
• Assist patients in problem solving potential issues with insurance, financial, or social issues
• Accurately maintain referral network contact information
• Alerts for ways to improve customer service, improve patient flow

Required Qualifications

• High school diploma or general education degree (GED)
• 1 year medical office experience
• Strong communication skills including written and verbal communication

Preferred Qualifications

• Associate degree preferred
• English/Spanish fluency
• 1 year experience with insurance carriers, prior authorizations, and/or coordination of care
• Demonstrated proficiency with computer programs and data entry, experience with Electronic Health Records highly preferred
• Previous experience using a multi-line phone system
• Ability to manage time effectively

Equal Opportunity Statement

Nevada Health Centers will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, gender identify and expression or any other category protected by law.

Americans with Disabilities Act (ADA) Statement

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand; walk; stoop, kneel, or crouch. The employee must regularly lift and/or move up to 20 pounds.