Referral Coordinator

Nevada Health Centers I•Las Vegas, NV

About The Position

The Referral Coordinator coordinates and processes patient referrals for specialty services, diagnostic testing, and other outpatient services for multiple primary care providers. The role obtains insurance authorization when needed and maintains ongoing tracking and documentation of referral coordination activities and status. The coordinator also serves as a patient liaison and advocate, helping ensure a positive experience with Nevada Health Centers’ services and referred care. Nevada Health Centers offers competitive compensation with annual merit increases, a company-sponsored PPO medical plan with a buy-up option, vision and dental plans, a 403(b) retirement plan with employer match, generous paid time off, ten paid holidays plus one floating holiday, and company-paid life/AD&D and long-term disability policies. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position regularly involves sitting, using hands to handle or feel, reaching, and talking or hearing; it occasionally involves standing, walking, stooping, kneeling, or crouching. The employee must regularly lift or move up to 20 pounds.

Requirements

High school diploma or GED.
At least 1 year of medical office experience.
Strong written and verbal communication skills.

Nice To Haves

Associate degree.
English/Spanish fluency.
One year of experience with insurance carriers, prior authorizations, and/or coordination of care.
Proficiency with computer programs and data entry; experience with Electronic Health Records is highly preferred.
Previous experience using a multi-line phone system.
Ability to manage time effectively.

Responsibilities

Provide exceptional customer service to internal and external customers.
Coordinate primary care referrals to designated sites for specialty services, diagnostic testing, and other outpatient services.
Act as a patient liaison and advocate to support an optimal patient experience with NVHC services and referred care.
Obtain prior authorization as needed.
Attend required meetings and participate in committees as requested.
Complete appropriate patient documentation in electronic medical records.
Maintain proactive communication with patients regarding referrals.
Assist patients with potential insurance, financial, or social issues.
Accurately maintain referral network contact information.
Identify and alert others to opportunities to improve customer service and patient flow.