Medical Referral Coordinator - MD071

Native American Rehabilitation Assoc. of the NW•Portland, OR

12d•Onsite

About The Position

We are seeking a highly organized and detail-oriented Referral Coordinator to help patients access the specialty medical, behavioral health, and community services they need. In this role, you will serve as a critical link between patients, providers, insurance companies, and community partners to ensure referrals are processed accurately, tracked effectively, and completed successfully. At NARA Northwest, you’ll find a supportive work environment where every team member is valued and respected. Whether you’re passionate about healthcare, behavioral health, education, or social services, there’s a place for you to make a meaningful difference. The mission of NARA NW is to provide education, physical, mental health services, and substance abuse treatment that is culturally appropriate to American Indians, Alaska Natives, and anyone in need. At NARA NW, we deliver services and support to Native American and Alaska Native communities, helping individuals lead healthier, more fulfilling lives. With over 450 employees across a variety of programs—including medical and dental care, addiction treatment, housing assistance, and enrichment initiatives NARA NW offers numerous opportunities for growth and advancement, all while making a tangible, positive impact on the lives of others.

Requirements

2+ (two) years of experience in referrals, care coordination, medical or behavioral health administration, insurance authorization, or a related field.
Working knowledge of insurance eligibility, benefits, referrals, prior authorizations, and related documentation processes.
Proficiency with Microsoft Office, including Word, Excel, and Outlook.
Strong interpersonal and communication skills
Strong organizational skills and attention to detail
Ability to work independently and collaboratively
Must pass a pre-employment or for cause drug tests.
Must pass criminal background and DMV checks.

Nice To Haves

Experience with Athena, RPMS, or similar electronic health record systems.
Experience supporting Medicaid or community health programs.
Knowledge of behavioral health, mental health, substance use treatment, or community-based healthcare services.
Experience working with Native American and Alaska Native communities.

Responsibilities

Track and manage Medical and Mental Health referrals, including status updates, authorizations, follow-up, and completion.
Understand insurance and grant coverage, benefits, eligibility requirements, and service limitations.
Accurately document patient information, insurance/grant information, referrals, and authorizations in Athena and RPMS.
Assist patients with questions related to enrollment, claims, benefits, referrals, authorizations, and available resources.
Receive and respond to inquiries from patients, providers, and insurance vendors.
Prepare and send referral documentation to receiving providers or organizations.
Communicate insurance-related changes to appropriate NARA NW staff, including the Billing Department.
Prepare tracking reports for management.
Refer patients for specialty medical and mental health services.
Track referrals, follow documentation procedure, and support care coordination throughout the referral process.
Complete internal referrals from Medical and Mental Health to other NARA NW programs and resources, such as housing, food bank, supported employment, and A&D services.
Maintain a referral tracking spreadsheet used to provide management with regular reports on both internal and external referrals.
Gather pertinent information from providers, billing staff, insurance, and other ancillary staff to ensure referrals are successfully completed.