Referrals Manager

Position SummaryThe Manager Referral Operations provides system-wide leadership and oversight of referral coordination across all health centers. This role is accountable for ensuring timely compliant and high-quality processing of outgoing referrals generated by clinical providers. The manager leads referral workflow optimization referral policy governance EPIC referral builds enhancements performance monitoring and cross-functional collaboration to reduce leakage improve patient access and strengthen care continuity. This position supervises Referral Coordinators and drives measurable improvements in referral accuracy authorization turnaround time compliance adherence and patient access outcomes. The Manager serves as the subject matter expert for referral operations across the organization. Core Job ResponsibilitiesOversee the end-to-end referral lifecycle to ensure timely accurate and compliant processing of all outgoing referrals across health and analyze referral performance metrics (volume aging authorization turnaround leakage denials) and implement corrective action plans as as the subject matter expert on referral policy payer requirements and managed care authorization workflow inefficiencies and lead process improvement initiatives to optimize referral operations and patient with IS/EPIC teams to enhance referral builds reporting tools dashboards and system workflows. Audit referral documentation and processes to ensure regulatory compliance and adherence to organizational with health center leadership providers revenue cycle and quality teams to resolve referral-related operational and develop Referral Coordinators through performance management coaching training and competency developmentLeads cross-functional initiatives focused on internal referral optimization specialty access optimization and system-wide referral workflow alignment in collaboration with clinical operational and administrative duties as degree in healthcare or related field plus a minimum of two (2) years supervisory/team lead experience in healthcare OR a high school diploma/GED plus a total of five (5) or more years of supervisory/team lead experience in a healthcare setting required. A minimum of (3) years of experience in a clinical office health plan or health care environment two (2) years of experience processing referrals knowledge of third-party payers and managed referrals required. Minimum one (1) year HER Systems experience required; EPIC of coding (ICD10 CPT) proficiency in Microsoft Office: especially Excel Conditions/EquipmentNormal office environment regularlyHealth Center environment occasionally Local travel between health centers and community events is required; mode of transportation requiredIf personal vehicle is employed a current drivers license and proof of insurance is required

Required Experience:

Manager