Referral Coordinator

Habitat Health•Sacramento, CA

6d•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. As an integral member of the care team, this role serves as a liaison among patients, providers, utilization management, and other departments to support timely access to specialty care. The position is onsite in Sacramento, California, and may require visits to outside healthcare offices for relationship-building purposes. Reliable transportation to the primary work location and other locations is required; mileage reimbursement is provided according to company policy. Habitat Health provides care through the Program of All-Inclusive Care for the Elderly (PACE), combining medical care with support for daily needs in centers and participants’ homes. The Referral Coordinator is expected to contribute to a welcoming participant experience and inclusive team culture, seek and share constructive feedback, help implement improvements, and uphold Habitat’s values. The anticipated base salary is $22.00–$25.00 per hour. Final compensation depends on factors including qualifications, skills, experience, education, certifications, geographic location, and business needs. The role is eligible for a benefits package that includes medical, dental, and vision insurance; paid parental leave; short- and long-term disability coverage; life insurance; flexible spending accounts; a 401(k) savings plan with a match; paid time off; and company-paid holidays. Employment is at-will. Team members in participant care settings must comply with applicable infection-control, PPE, masking, and vaccination policies; for COVID-19 and influenza, they must provide proof of vaccination or a signed declination form, subject to applicable law and reasonable accommodations.

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 job responsibilities.

Nice To Haves

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

Responsibilities

Receive, review, and process referral requests from healthcare providers.
Enter referral requests accurately and promptly into the appropriate portal.
Follow up on specialty referrals and coordinate care for urgent referrals.
Coordinate with specialists, hospitals, and other healthcare providers to schedule patient appointments.
Ensure referral information is accurate, complete, and compliant with healthcare regulations.
Act 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 obtain timely updates on referral status.
Verify and update patient records in the electronic health record 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 and authorization issues.
Help patients understand insurance benefits related to referrals.
Comply with relevant healthcare regulations, including HIPAA, and safeguard patient confidentiality.
Visit outside healthcare offices for relationship-building purposes, as needed.
Contribute to a positive participant experience, an inclusive team culture, and ongoing improvements in clinical outcomes and participant experience.
Perform related duties as assigned.