Referral Coordinator Jobs

About The Position

Requirements

• High school diploma or equivalent required.
• At least 3–5 years of experience in DME coordination, referral management, or related healthcare operations.
• Strong knowledge of DME processes, authorizations, and vendor coordination.
• Strong knowledge of medical terminology, healthcare documentation, and complex injuries.
• Proficiency with healthcare systems, referral platforms, and Microsoft Office applications.
• Excellent organizational, prioritization, and multitasking skills.
• Strong written and verbal communication skills with a customer-service focus.
• Attention to detail and accuracy.
• Customer-centric mindset.
• Problem-solving and critical-thinking skills.
• Collaboration and teamwork skills.
• Confidentiality and professionalism.

Nice To Haves

• Associate degree or higher.
• Workers’ Compensation or Care at Home experience.
• Prior experience handling escalated or complex DME cases.
• Experience mentoring or supporting junior staff.
• Familiarity with DME billing workflows and payer requirements.

Responsibilities

• Receive, review, and process complex DME referrals from internal and external referral sources, ensuring accuracy and completeness before fulfillment.
• Coordinate with payors to obtain required authorizations before DME delivery.
• Coordinate with DME vendors, providers, injured workers or patients, and referral sources to ensure appropriate equipment is delivered within required timeframes.
• Provide proactive status updates and delivery confirmations to stakeholders.
• Manage complex, high-risk, or escalated DME cases requiring advanced problem-solving and coordination.
• Ensure accurate pricing and documentation are provided to Billing to support timely and correct invoicing.
• Maintain complete and compliant documentation, including prescriptions, clinical notes, authorizations, and invoices, in accordance with company policy and regulatory requirements.
• Assist with reconciliation of unmatched claims or billing discrepancies as needed.
• Follow payer guidelines, regulatory requirements, and internal policies related to DME and Protected Health Information (PHI).
• Provide timely, professional customer service in response to questions, concerns, and complaints; follow up with injured workers or patients and referral sources to assess satisfaction and resolve service issues.
• Maintain reliable and predictable attendance during scheduled work hours.
• Serve as a resource and mentor to DME Coordinators and Intake staff, providing guidance on workflows, systems, and complex cases.
• Assist leadership with onboarding and training new team members.
• Support DME operations process-improvement initiatives, documentation updates, and special projects.
• Identify opportunities to improve turnaround times, vendor performance, and service quality.
• Use AI tools to support day-to-day tasks, improve efficiency, and enhance output quality; adopt new technologies as trained and use them in accordance with established processes and guidelines.
• Comply with Paradigm Information Security requirements and policies, safeguard Paradigm-related passwords, and report information security incidents as required by policy SEC 10-12.

Benefits

• Health insurance options, including PPO, HDHP, and HMO plans through Cigna and Kaiser (Kaiser for California employees only).
• 401(k) matching contributions.
• Employer-paid life and disability insurance.
• Flexible spending and commuter accounts.
• Employer-matched HSA contributions.
• Paid time off and personal holiday programs.
• One paid volunteer day per calendar year for full- and part-time employees.
• Learning and development support, including the LEAP program.