Referral Coordinator

Posted 14 Hours Ago
Be an Early Applicant
Lancaster, CA, USA
In-Office
28-31 Hourly
Junior
Healthtech
The Role
Coordinate inbound/outbound referrals, verify insurance and obtain authorizations, communicate with patients and providers, document referral activity in the EHR, track and escalate unresolved or time-sensitive cases, and ensure HIPAA and payer compliance.
Summary Generated by Built In

Position Title: Referral Coordinator 

Department: Referral Department 

Reports To: Program Operations Supervisor

POSITION SUMMARY 

The Referral Coordinator is the hub of care continuity, responsible for managing all inbound and outbound referrals to ensure timely patient access to specialty care and services. This role requires strong communication, organizational, and tracking skills to facilitate seamless coordination between providers, patients, payers, and external entities.

 HOURS

 • 8 per Day / 5 Days per Week - Temporary Full Time

Benefits Package 

  • Medical Insurance
  • Dental Insurance
  • Vision Care Plan
  • Life Insurance
  • Paid Holidays
  • Flexible Spending Account (FSA)
  • Paid Vacation Time
  • Sick Time
  • 401(k) Retirement Plan
  • Competitive wages
  • Stability and career advancement
  • Continuing Education Opportunities

CATEGORIES OF DUTIES 

  1. Referral Management: 

• Process all incoming and outgoing referrals in a timely and accurate manner. 

• Verify insurance requirements and obtain necessary authorizations or pre-certifications. 

• Ensure referrals align with payer guidelines and provider network rules. 

  1. Communication:

 • Notify patients of referral status and provide instructions for scheduling with specialists. 

• Coordinate with referring providers and specialists to confirm appointments and ensure continuity of care. 

• Communicate effectively with clinical staff to ensure appropriate follow-up care. 

• Act as a primary point of contact for patients and their families, ensuring clear and timely communication.

 • Facilitate communication between patients, healthcare providers, and other relevant parties.

 • Answer phone calls, emails, and other inquiries promptly and professionally. Connects with external parties when necessary, on behalf of patients. 

  1. Documentation:

 • Enter referral details, authorizations, and appointment confirmations into the EHR. 

• Maintain accurate logs and tracking systems for open referrals. 

• Follow up on pending referrals and escalate unresolved issues.

  1. Compliance and Quality:

 • Ensure all referral processes comply with HIPAA, payer requirements, and internal policies. 

• Participate in audits and quality improvement initiatives related to care coordination. 

• Appropriately and promptly elevate complex cases, obstacles to care, or time-sensitive concerns to leadership. 

  1. Performs other duties as assigned.

LICENSES/CERTIFICATES

 None 

EDUCATION/EXPERIENCE 

• High school diploma or GED; or Medical Assistant experience

• 2+ years of experience in a medical office setting, preferably in referrals, billing, or care coordination. 

• Knowledge of insurance plans, prior authorizations, and provider networks.

• Proficiency in electronic health record (EHR) systems 

• Bilingual (Spanish/English or other common local language) strongly preferred. 

• Strong follow-through and accountability. 

• Comfortable with navigating ambiguity and problem-solving independently. 

• Able to manage high referral volume. 

• Standard office work: sitting, typing, phone use. 

• May require occasional lifting of supplies up to 25 lbs. 

SETTING 

Tarzana Treatment Centers, Inc. is a non-profit corporation, which provides behavioral healthcare services, including chemical dependency. 

EQUAL OPPORTUNITY EMPLOYER 

Tarzana Treatment Centers, Inc. does not discriminate as to race, nationality, religion, gender, sexual orientation and disability in its hiring practices. 

ADA REQUIREMENT 

Tarzana Treatment Centers, Inc. supports the Americans with Disabilities Act. Discrimination is prohibited in all aspects of employment against disabled persons, who, with reasonable accommodations, can perform the essential functions of a job.

#SJ2021


Monday- Friday
8:00am - 4:30pm

Skills Required

  • High school diploma or GED or Medical Assistant experience
  • 2+ years of experience in a medical office setting (referrals, billing, or care coordination preferred)
  • Knowledge of insurance plans, prior authorizations, and provider networks
  • Proficiency in electronic health record (EHR) systems
  • Bilingual (Spanish/English or other common local language)
  • Strong follow-through and accountability
  • Comfortable navigating ambiguity and problem-solving independently
  • Ability to manage high referral volume
  • Standard office work abilities (sitting, typing, phone use)
  • Occasional lifting of supplies up to 25 lbs
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The Company
HQ: Long Beach, CA
978 Employees
Year Founded: 1972

What We Do

Tarzana Treatment Centers, Inc. is a full-service behavioral healthcare organization that provides high quality, cost-effective substance abuse and mental health treatment to adults and youths. We are a non-profit, community-based organization that operates a psychiatric hospital, residential and outpatient alcohol and drug treatment centers and family medical clinics. All facilities are licensed and certified by the State of California and the County of Los Angeles and are accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Since 1972, we have provided a comprehensive continuum of healthcare services. Tarzana Treatment Center provides the highest level of QUALITY treatment at reasonable cost to the individual. Our services reflect our belief in individual DIGNITY and DIVERSITY of our staff and patients. We practice ADVOCACY on federal, state and local levels to reduce stigma and promote consumer involvement in the design and development of services. Our continuum of care demonstrates the value of service INTEGRITY. These values drive Tarzana’s commitment to PROGRESS and INNOVATION.

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