Referral Coordinator

Posted Yesterday
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Vista, CA, USA
In-Office
21-23 Hourly
Junior
Healthtech • Social Impact
The Role
Coordinates patient referrals, obtains prior authorizations, verifies insurance eligibility, submits clinical documentation, and tracks referrals through completion. Communicates with patients, clinicians, specialists, and agencies; provides scheduling instructions, resolves referral issues, documents communications in electronic health records, and verifies that consultation and diagnostic reports are received and scanned. Requires accurate data entry, healthcare terminology knowledge, and bilingual English/Spanish communication.
Summary Generated by Built In
Overview

At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most.


As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.


For eligible employees, benefits include:✅ Competitive compensation & benefits ✅ Medical, dental, vision✅ Company-paid life insurance ✅ Flexible spending accounts ✅ 403(b) retirement plan 

Why VCC?

• 🏅 Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S.

• Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT.

• A robust training & development culture to help you grow and advance your career.

• A workplace built on respect, collaboration and passion for care.

Responsibilities

Responsible for the coordination, processing, obtaining prior authorizations, and requesting reports for a variety of referrals requested by VCC clinicians. Collaborate with others to ensure successful tracking and completion of referrals.

  • Complete all associated paperwork
  • Organize all necessary information from the patient medical record to accurately complete the referral authorization. Verify insurance information and check eligibility (through phone or insurance portals) as needed for referral purposes.  Submit all appropriate information for referral including cover letters, pertinent progress notes, imaging or labs as related to the referral.
  • Provide patients with referral information and instructions on how to contact specialist and schedule appointment.
  • Act as liaison with referral providers and agencies
  • Document referral information in the Electronic Health Record using NextGen and HealthViewX (HVX)
  • Use referral tracking system to move the referral through the process of Not Started-Pending-Follow-up and Closed. Documenting progress in patient chart.
  • Verify receipt of consult, diagnostic and other required reports. Be sure document is scanned into patient chart and forwarded to Clinician PAQ.
  • Act as liaison with referral clinicians and agencies
  • Availability to take phone calls and respond to voicemail and Email in a timely manner. Keep phone and Skype status up-to-date.
  • Interact directly with patients, providing excellent care to all. Remain objective and non-judgmental. Regularly assist patients by answering questions and resolving issues that may arise during the referral process. Document all communication.
Qualifications

Minimum

  • High school graduate or equivalent 
  • Minimum two years' experience in a medical, social service setting or related field
  • Bilingual English/Spanish

Preferred

  • Medical assistant certification or equivalent training
  • Familiarity with CPT an ICD codes

Required Skills/Knowledge/Abilities

  • Familiar with medical, social service and health insurance terminology 
  • Ability to type and enter data with a high degree of accuracy
  • Excellent verbal and written skills necessary for communication with patients/clients, clinicians and other staff

Preferred Skills/Knowledge/Abilities

  • Experience/familiarity with Practice Management and Electronic Medical Records systems, NextGen preferred
  • Familiarity with Medical terminology and procedures and CPT and ICD codes.

Pay Range

  • $21.00 - $23.00 Depending On Experience

Skills Required

  • High school diploma or equivalent
  • At least two years of experience in a medical, social service, or related setting
  • Bilingual English and Spanish
  • Medical assistant certification or equivalent training
  • Familiarity with CPT and ICD codes
  • Knowledge of medical, social service, and health insurance terminology
  • Accurate typing and data-entry skills
  • Excellent verbal and written communication skills
  • Experience with practice management and electronic medical record systems, preferably NextGen
  • Familiarity with medical terminology and procedures
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The Company
502 Employees
Year Founded: 1972

What We Do

Vista Community Clinic (VCC) is a private, nonprofit healthcare provider serving communities in San Diego, Riverside, and Orange counties. Since 1972, it has focused on accessible, affordable care for people facing economic, social, or cultural barriers. Its services include primary and family medicine, pediatrics, prenatal and women’s health, dental care, optometry, behavioral health, chiropractic care, podiatry, health education, and insurance enrollment assistance.

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