Center Care Team - Referral Coordinator

ArchWell Health•Birmingham, AL

About The Position

ArchWell Health is a healthcare provider focused on improving the lives of senior members through neighborhood clinics and wellness-focused care. The Referral Coordinator helps members navigate the healthcare system and obtain appropriate care in a timely manner, serving as a guide for members and their families as they connect with specialists and other services inside or outside the center. The role works with a multidisciplinary care team to understand members’ needs, coordinate referrals, maintain accurate documentation, and monitor follow-up based on members’ care plans. The Referral Coordinator also helps address healthcare-system, financial, and social barriers, promotes communication among care teams and clinicians, and serves as a point of contact for members and families. The position requires attention to detail, knowledge of the healthcare ecosystem, and a commitment to supporting seniors.

Requirements

Two years of experience in referral management or care coordination.
High school diploma or equivalent.
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 that can assist members.
Strong communication and rapport-building skills within an interdisciplinary team.
Ability to multitask and manage competing priorities with high attention to detail.
Proficiency with PC skills, including Microsoft Office.

Nice To Haves

A 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 the communities served, where necessary.

Responsibilities

Partner with the 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 activities and ongoing monitoring outlined in each member’s care plan, supporting follow-up and progress toward care-plan goals.
Follow HIPAA standards and maintain the confidentiality of protected health information.
Promote clear communication among the care team and treating clinicians.
Help members resolve potential healthcare-system issues and financial or social barriers, including arranging interpreters, transportation services, or prescription assistance as appropriate.
Serve as a system navigator and point of contact for members and families, allowing them to ask questions and raise concerns.
Perform additional duties as assigned.