Referral Coordinator

North Central Health Care•Wausau, WI

4d•$19 - $21•Onsite

About The Position

Referral Coordinator Opportunity: The Referral Coordinator serves as the primary point of contact for referrals into Outpatient Services. This role is responsible for managing all aspects of the referral process, including screening, scheduling, and coordination of care. The Referral Coordinator ensures timely and accurate processing of referrals from internal and external partners, collaborates with clinical teams, and supports patients through insurance verification, prior authorizations, and follow-up scheduling. The position requires strong organizational skills, excellent customer service, and the ability to effectively communicate with patients, providers, and community partners.

Requirements

High School diploma or equivalent
One or more years of relevant scheduling or healthcare experience.
Excellent customer service skills
Basic working knowledge of computers and computer programs such as Microsoft Word, Microsoft Excel, Outlook Email, etc.
Ability to establish and maintain positive working relationships with interdisciplinary team including physicians, therapists, and nurses.
Ability to communicate effectively both in written and verbal
Keyboarding skills including ability to use an Electronic Medical Record
Exceptional phone etiquette
Ability to multi-task

Nice To Haves

Two or more years in referral coordinator in a healthcare facility, or closely related role.
Experience working with a diverse patient population including severe and persistent mental illness and substance use
Ability to communicate positively and with empathy
Previous experience with Electronic Medical Records, like Cerner.
Detail oriented

Responsibilities

Receive and process referrals from internal providers, external organizations, courts, social services, probation/parole, hospitals, and self-referrals.
Ensure all required releases of information and documentation are obtained in compliance with HIPAA.
Add clients into the EMR and maintain accurate demographic and insurance information.
Conduct intake assessments (ASAM or other tools) to determine level of care and schedule admissions accordingly.
Coordinate with detox services, schedule follow-up appointments, and provide continuity of care planning.
Prioritize clients based on statutory or regulatory requirements.
Verify insurance eligibility, benefits, and prior authorization requirements through portals.
Complete and submit prior authorizations, assist with utilization reviews, and track renewal timelines.
Provide patients with resources for obtaining or activating insurance coverage.
Schedule clients with appropriate credentialed providers to ensure compliance and reimbursement.
Coordinate with registration specialists and front desk staff to support smooth patient check-in/out.
Document all client communications in EMR and supplemental systems.
Provide educational resources to community partners and clients regarding the referral process.
Maintain accurate records for compliance and reporting purposes.
Respectful, professional demeanor when interacting with patients, residents, families, visitors, volunteers, and staff.
Provide in-house reminder calls to minimize no-shows.
Perform other related duties as assigned.