Referral Coordinator
About The Position
ArchWell Health is a healthcare provider focused on improving the lives of senior members through accessible neighborhood clinics and wellness-focused care. The Referral Coordinator helps members navigate the healthcare system and connect with appropriate specialists, providers, vendors, and services in a timely manner. Working with the multidisciplinary care team, this role supports members and their families, helps address barriers to care, and monitors follow-up and progress on care plan goals. The coordinator also serves as a point of contact for members and families and promotes communication among care team members and treating clinicians.
Requirements
- High school diploma or equivalent required.
- Two years of experience in referral management or care coordination.
- Deep understanding of the healthcare ecosystem, ideally including benefits and insurance authorization.
- Passion for helping senior members carry out care plans.
- Ability to work effectively with diverse populations, including staff, providers, members, family members, insurance carriers, vendors, and the public.
- Basic medical terminology.
- Understanding of Medicare criteria for equipment and supplies.
- Knowledge of CPT and ICD-10 codes.
- Working knowledge of specialists and community resources.
- Strong communication and rapport-building skills within an interdisciplinary team.
- Ability to multitask and manage competing priorities with strong attention to detail.
- Proficient PC skills, including Microsoft Office.
Nice To Haves
- Degree or college-level coursework in healthcare.
- Medical assistant or medical administrative experience.
- Experience with EMR systems, ideally eClinicalWorks or similar.
- Fluency in Spanish or languages spoken by people in the communities served, where necessary.
Responsibilities
- Partner with ArchWell Health’s multidisciplinary care team to understand each member’s care needs and identify gaps or barriers to treatment.
- Coordinate referrals to external providers, vendors, and services.
- Document member referrals accurately and keep records current.
- Build and maintain relationships with members and their families to facilitate care coordination.
- Carry out and monitor activities outlined in member care plans, supporting routine follow-up and progress toward goals.
- Adhere to HIPAA standards and maintain confidentiality of protected health information.
- Promote clear communication among the care team and treating clinicians.
- Help members resolve issues related to the healthcare system and financial or social barriers, such as arranging interpreters, transportation services, or prescription assistance.
- Serve as a system navigator and point of contact for members and families, responding to questions and concerns.
- Perform additional duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
