Lead Referral Coordinator

We are seeking a Lead Referral Coordinator to oversee the referral coordination team and ensure high-quality support for patients and providers. Essential Functions The Lead Referral Coordinator is responsible for: Overseeing the referral coordination team, ensuring efficient workflow and adherence to referral protocols. Managing the most complex or escalated referral cases, including those requiring extensive insurance approvals or multi-specialty coordination. Training, mentoring, and supporting Referral Coordinators I and II, providing guidance on processes and problem-solving strategies. Serving as liaison between referral staff, providers, and clinic leadership to improve referral processes and resolve systemic challenges. Monitoring referral documentation, timeliness, and compliance to maintain quality and patient safety standards. Advocating for patients when navigating the healthcare system, financial barriers, or insurance requirements. Building and maintaining relationships with specialists, community resources, and service providers to streamline referral processes. Reviewing referral reports and tracking metrics, providing feedback to leadership on opportunities for improvement. Performing administrative and supervisory tasks as assigned by the Referrals and Medical Records Manager or clinic leadership. Supervisory Responsibilities The position does not have direct supervisory responsibilities but provides peer leadership and support to clinical staff. Qualifications Education: High school diploma, GED, or equivalent experience (required). Advanced training, certifications, or coursework in healthcare administration, management, or related fields preferred. Experience: Minimum 3 years of experience in referral coordination, healthcare administration, or a related role, including supervisory or team lead responsibilities. Demonstrated proficiency with healthcare systems and EMR platforms required. Knowledge: In-depth knowledge of HIPAA, AHCA regulations, medical terminology, referral processes, products, services, standards, policies, and procedures. Expertise in insurance authorizations, prior approvals, and complex case management. Familiarity with workflow management, quality assurance, and team leadership in a clinical setting. Skills: Exceptional communication, leadership, organizational, and problem‑solving skills. Ability to manage escalated cases, mentor staff, coordinate workflow, and ensure team compliance under high‑volume conditions. Highly detail‑oriented with strong accuracy in data, documentation, and reporting. Technical Proficiency: Advanced proficiency in Microsoft Office Suite, EMR systems, and other healthcare technology. Ability to train and support staff on technical systems and workflow processes. Leadership: Prior supervisory experience for external candidates, or demonstrated leadership aptitude and competency for internal promotion candidates. Additional: Professional and courteous communication with patients, providers, staff, and external partners. Bilingual (English/Spanish or English/Creole) preferred. Strong leadership and mentoring capabilities, fostering a collaborative and efficient team environment. Working Conditions General office working conditions. Physical Demands The physical demands described here are representative of those that must be met to perform the job. The employee will be required to stand, walk, sit, use hands to handle objects, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, and occasionally lift and or move up to 15 pounds. Specific vision abilities required include close, distance, peripheral vision, depth perception, and the ability to adjust focus. Manual dexterity is required to use desktop computers and peripherals. Reasonable accommodation may be made for individuals with disabilities. Work Environment The noise level in the work environment is usually moderate. Travel Local travel between care centers may be required for coverage. Safety Hazard Minimal hazards. This job description does not list all duties and responsibilities of the job. You may be asked by supervisors or managers to perform other instructions, duties, and responsibilities, as appropriate. Management has the right to revise this job description at any time. The job description is not a contract for employment, and either you or the employer may terminate employment at any time, with or without cause, with or without notice. #J-18808-Ljbffr Claremedica