Clinic Referral Coordinator
New
I
Indigenous PactHealthcare coordination
Remote (prefer based in California)Full-TimeJunior
Salary28 - 36 USD per hour
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Job Details
- Languages
- Bilingual English and Spanish proficiency.
- Experience
- Minimum two years of experience in referral coordination, patient navigation, medical office administration, prior authorization, or a related healthcare support role.
- Required Skills
- EHRHIPAA
Requirements
- High school diploma or equivalent.
- Minimum two years of experience in referral coordination, patient navigation, medical office administration, prior authorization, or a related healthcare support role.
- Knowledge of insurance eligibility verification and prior authorization processes.
- Knowledge of HIPAA requirements and healthcare documentation standards.
- Experience working with electronic health records, referral tracking systems, and payer portals.
- Ability to remain seated and use a computer for extended periods.
- Ability to maintain confidentiality of protected health information and manage competing priorities.
- Preferred: Associate's or Bachelor's degree in healthcare administration, social work, healthcare management, or a related field.
- Preferred: Medical Assistant training or certification.
- Preferred: Experience supporting Tribal Care, Purchased/Referred Care (PRC), or referral processing in tribal health, rural health, or community-based healthcare settings.
- Preferred: Bilingual English and Spanish proficiency.
- Preferred: Experience supporting specialty care or telehealth programs.
Responsibilities
- Support Tribal Care and/or Purchased/Referred Care (PRC) referral processing, including documentation, authorization status, specialist scheduling, follow-up, and communication with clinic teams and external partners.
- Manage referral workflows from intake through closure.
- Coordinate prior authorization submissions, tracking, follow-up, appeals coordination, and status communication.
- Facilitate patient scheduling and care coordination across providers, clinics, specialists, payers, and support services.
- Maintain accurate referral records, communication logs, and supporting documentation.
- Monitor referral status and follow-up activities to reduce delays and improve patient access to care.
- Support pre-visit, post-visit, and referral-out activities to ensure continuity of care and care transitions.
- Collaborate with patients, providers, clinic staff, and external partners to remove barriers to care and improve the patient experience.
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