Lead Referral Coordinator

CLAREMEDICA HEALTH PARTNERS LLC•Plantation, FL

35d•Hybrid

About The Position

At Claremedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the Claremedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At Claremedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to Claremedica.

Requirements

High school diploma, GED, or equivalent experience (required).
Minimum 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 required.
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.
Highly detail-oriented with strong accuracy in data, documentation, and reporting.
Advanced proficiency in Microsoft Office Suite, EMR systems, and other healthcare technology.
Ability to train and support staff on technical systems and workflow processes.
Professional and courteous communication with patients, providers, staff, and external partners.
Strong leadership and mentoring capabilities, fostering a collaborative and efficient team environment.

Nice To Haves

Advanced training, certifications, or coursework in healthcare administration, management, or related fields preferred.
Prior supervisory experience for external candidates, or demonstrated leadership aptitude and competency for internal promotion candidates.
Bilingual (English/Spanish or English/Creole) preferred.

Responsibilities

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