Shared Market Clinical - Referral Coordinator

ArchWell Health•Kansas City, MO

10d

About The Position

ArchWell Health is an innovative healthcare provider focused on improving the lives of senior members through accessible neighborhood clinics and wellness-focused communities. The Referral Coordinator helps members navigate the healthcare system and connect with appropriate specialists, providers, vendors, and services in a timely manner. The role works closely with a multidisciplinary care team, members, and families to support care plans, address barriers to treatment, and promote positive outcomes.

Requirements

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

Nice To Haves

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 people in the communities served, where necessary.

Responsibilities

Partner with the multidisciplinary care team to understand member 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 relationships with members and families to facilitate care coordination.
Carry out and monitor care-plan activities, follow-up, and progress toward goals.
Adhere to HIPAA standards and protect confidential health information.
Promote clear communication among the care team and treating clinicians.
Help members address healthcare-system issues and financial or social barriers, including arranging interpreters, transportation, or prescription assistance as appropriate.
Serve as a system navigator and point of contact for members and families to ask questions and raise concerns.
Perform additional duties as assigned.