Clinic Referral Coordinator
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Job Description
Referral Coordinator managing healthcare referrals, prior authorizations, scheduling, and care transitions. Supporting Indigenous Pact’s patient-centered care coordination and access to specialty services.
Responsibilities:
- Support Tribal Care and/or Purchased/Referred Care (PRC) referral processing, including referral documentation, authorization status, specialist scheduling, follow-up, and communication with clinic teams and external partners
- Manage referral workflows from intake through closure
- Coordinate the full prior authorization lifecycle, including submission, tracking, follow-up, appeals coordination, and communication of authorization status
- Facilitate patient scheduling and care coordination across providers, clinics, specialists, payers, and support services
- Maintain complete and accurate referral records, communication logs, and supporting documentation
- Monitor referral status and follow-up activities to reduce delays and improve patient access to care
- Support pre-visit, post-visit, and referral-out activities to ensure continuity of care and successful care transitions
- Collaborate with patients, providers, clinic staff, and external partners to remove barriers to care and improve the patient experience
Requirements:
- High school diploma or equivalent
- Minimum two years of experience in referral coordination, patient navigation, medical office administration, prior authorization, or a related healthcare support role
- Knowledge of insurance eligibility verification, prior authorization processes, HIPAA requirements, and healthcare documentation standards
- Experience working with electronic health records, referral tracking systems, and payer portals
- Strong organizational, communication, problem-solving, and time-management skills
- Ability to remain seated and use a computer for extended periods of time
- Must communicate effectively through phone, video, and electronic communication methods
- Ability to maintain confidentiality of protected health information and manage competing priorities in a fast-paced environment
Benefits:
- PTO policy including vacation, wellness and 11+ company-paid holidays
- 401(k)
- Medical insurance
- Dental insurance
- Vision insurance
- Open, transparent lines of communication with leadership
- Development-focused environment with autonomy to drive your career path
- Commitment to improving communities and environmental impact
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