Referral Coordinator

Habitat Health•Sacramento, CA

6d•$22 - $25•Onsite

About The Position

The Referral Coordinator is responsible for accurately and promptly entering referral requests into the appropriate portal, following up on specialty referrals, and coordinating care for urgent referrals. The role serves as a liaison among patients, providers, utilization management, and other departments to support timely access to specialty care. The coordinator works with patients, specialists, hospitals, healthcare providers, and insurance companies, and helps maintain accurate referral documentation and patient records. This position is onsite in Sacramento, California, and may require visiting outside healthcare offices for relationship-building.

Requirements

High school diploma or GED.
At least 2 years of experience.
Strong organizational and multitasking abilities.
Excellent communication and interpersonal skills.
Proficiency with EHR systems and other healthcare-related software.
Knowledge of medical terminology, insurance processes, and healthcare regulations.
Reliable and timely transportation to and from the primary work location and other locations needed to fulfill responsibilities; mileage reimbursement is provided according to company policy.

Nice To Haves

Associate’s or bachelor’s degree in healthcare administration, medical assisting, or a related field.
Medical Assistant certificate.
Bilingual ability in Spanish, Mandarin, or Cantonese.
State-issued driver’s license, personal transportation, and auto insurance as required by law.

Responsibilities

Receive, review, and process referral requests from healthcare providers.
Coordinate with specialists, hospitals, and other healthcare providers to schedule patient appointments.
Ensure referral information is accurate, complete, and compliant with healthcare regulations.
Serve as a primary point of contact for patients, providers, and insurance companies regarding referral status.
Explain referral processes, appointment details, and required pre-appointment preparations to patients.
Communicate with healthcare providers to provide timely updates on referral status.
Verify and update patient records in the electronic health record (EHR) system.
Maintain accurate referral documentation, including medical records and insurance authorizations.
Prepare and submit reports on referral activities and outcomes.
Verify insurance coverage and obtain necessary authorizations for referred services.
Work with insurance companies to resolve coverage or authorization issues.
Assist patients in understanding insurance benefits related to referrals.
Comply with applicable healthcare regulations, including HIPAA, and protect patient confidentiality.
Visit outside healthcare offices for relationship-building purposes, as needed.
Perform related duties as assigned.
Contribute to a welcoming center experience, a supportive team culture, and an environment where participants and team members belong.
Seek and share constructive feedback and help implement changes to improve clinical outcomes and participant experience.
Exhibit and honor Habitat Health's values.