Referral Coordinator/Medical Assistant

Referral CoordinatorOur Mission: To improve lives by providing convenient, comprehensive, high-quality healthcare to every person in every community that we serve.Our Vision: CCHN will maintain its position as the leading community health center in the state and become a model for all other healthcare organizations to follow.Major Function: The Referral Coordinator is responsible for coordinating and managing patient referrals to internal and external providers to ensure timely access to care, continuity of services, and compliance with clinical, payer, and regulatory requirements. This role serves as a key liaison between patients, providers, insurance carriers, and healthcare partners.Qualifications:Experience in ambulatory care, specialty clinics, or hospital-based referral departmentsMedical Assistant or healthcare administration backgroundFamiliarity with CPT/ICD-10 codes and payer authorization requirementsEssential Responsibilities:Referral Processing & Coordination:Receive, review, and process provider referral orders for accuracy and completenessCoordinate internal and external referrals in accordance with clinical urgency and organizational guidelinesVerify insurance requirements as neededCommunicate referral details to patients and receiving providersPatient Communication & Support:Serve as a primary point of contact for patients regarding referral status and next stepsProvide clear instructions, education, and follow-up to ensure referrals are completedAddress patient questions and escalate concerns or delays appropriatelyMaintain a patient-centered, respectful, and confidential approachDocumentation & Compliance:Ensure accurate and timely documentation of referrals and authorizations in the electronic health record (EHR)Maintain compliance with CMS, payer guidelines, HIPAA, and organizational policiesTrack referral outcomes, completion status, and denialsCoordination & Collaboration:Collaborate with providers, nursing staff, care coordinators, and case management teamsCommunicate effectively with external specialists, facilities, and diagnostic servicesEscalate complex or urgent referrals to leadership when necessaryQuality & Performance:Monitor referral turnaround times and follow established workflowsIdentify barriers to referral completion and participate in process improvement effortsSupport audits and quality improvement initiatives related to referral managementCompleteCare offers full-time and part-time employees a variety of generous benefits, including but not limited to:Comprehensive medical, dental, and vision insurancePaid time off (vacation, sick leave, and holidays)401(k) retirement plan with employer matchingIncentive programLife and disability insuranceEmployee Assistance Program (EAP)Continuing education and professional development opportunitiesFlexible Spending Accounts (FSA)Tuition reimbursementReimbursement for licensure and certificationsReimbursement for CPRDiscounted servicesEmployee recognition programsHRA/Ameriflex (covers most out of pocket expenses)Pension planCancer PoliciesEmployee Paid Life insurance, 2 times annual salary up to $150K (CCHN paid benefit)AAA (discounted rates)BJ's Wholesale Club (Discounted Rates)Direct DepositChild Care Reimbursement ProgramIntersite Travel