Description
The Referral Coordinator manages referrals from dental, medical, and behavioral health departments through creation, prior authorization, scheduling, tracking, and closure. The role coordinates with providers, patients, health plans, and specialists; documents activities in the EHR; verifies eligibility and benefits; supports compliance with HIPAA, FQHC, UDS, HEDIS, and PCMH requirements; and meets defined referral and productivity metrics. The position requires a high school diploma or GED, 1–2 years of healthcare and insurance experience, knowledge of medical terminology and coding, and availability for all shifts, including evenings and weekends.
