Lead Referral Coordinator

CLAREMEDICA HEALTH PARTNERS LLC • Plantation, FL

7d • Onsite

About The Position

The Lead Referral Coordinator is a senior-level role that oversees the referral coordination team and ensures consistent, high-quality support for patients and providers. The role manages complex referral cases, trains and guides team members, monitors workflow and compliance with referral protocols, and serves as a liaison between referral staff and clinic leadership. The position supports efficient referral processes, resolves escalated issues, and fosters a collaborative team environment that contributes to seamless patient care.

The position works under general office conditions, with a usually moderate noise level. Local travel between care centers may be required for coverage. The job has minimal hazards.

Requirements

• High school diploma, GED, or equivalent experience.
• At least 3 years of experience in referral coordination, healthcare administration, or a related role, including supervisory or team lead responsibilities.
• Demonstrated proficiency with healthcare systems and EMR platforms.
• In-depth knowledge of HIPAA and AHCA regulations, medical terminology, referral processes, products, services, standards, policies, and procedures.
• Expertise in insurance authorizations, prior approvals, and complex case management.
• Familiarity with workflow management, quality assurance, and team leadership in a clinical setting.
• Exceptional communication, leadership, organizational, and problem-solving skills.
• Ability to manage escalated cases, mentor staff, coordinate workflow, and ensure team compliance under high-volume conditions.
• Strong attention to detail and accuracy in data, documentation, and reporting.
• Advanced proficiency with Microsoft Office Suite, EMR systems, and other healthcare technology.
• Ability to train and support staff on technical systems and workflow processes.
• Prior supervisory experience for external candidates, or demonstrated leadership aptitude and competency for internal promotion candidates.
• Professional and courteous communication with patients, providers, staff, and external partners.

Nice To Haves

• Advanced training, certifications, or coursework in healthcare administration, management, or related fields.
• Bilingual in English and Spanish or English and Creole.
• Strong leadership and mentoring capabilities that foster a collaborative and efficient team environment.

Responsibilities

• Oversee referral coordination workflow and adherence to referral protocols.
• Manage complex or escalated referral cases, including cases requiring extensive insurance approvals or coordination among multiple specialties.
• Train, mentor, and support Referral Coordinators I and II on processes and problem-solving.
• Serve as a liaison among referral staff, providers, and clinic leadership to improve processes and resolve systemic challenges.
• Monitor referral documentation, timeliness, and compliance to maintain quality and patient safety standards.
• Advocate for patients navigating the healthcare system, financial barriers, and insurance requirements.
• Build and maintain relationships with specialists, community resources, and service providers to streamline referrals.
• Review referral reports and tracking metrics and provide leadership with feedback on improvement opportunities.
• Perform administrative and supervisory tasks as assigned by the Referrals and Medical Records Manager or clinic leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED