Referral Coordinator

Join Our Team at Valley-Wide Health Systems, Inc.

Valley-Wide Health Systems is seeking a Referral Coordinator to support our clinical care teams by facilitating patient referrals and orders, obtaining pre-authorizations, and ensuring a seamless referral process. This role is essential in coordinating specialty care, managing documentation, and providing excellent customer service to patients and healthcare partners. If you are highly organized, detail-oriented, and passionate about patient care coordination, we encourage you to apply!

Key Responsibilities

Patient Referrals & Pre-Authorizations:

• Obtain pre-authorizations in compliance with payer requirements
• Ensure referral providers and facilities are in-network based on insurance coverage
• Facilitate referral scheduling, including direct coordination of appointments and assisting patients with potential barriers
• Track and follow up on scheduled and unscheduled referrals to ensure patient compliance
• Acquire specialty notes following completed appointments
• Communicate referral status to patients via phone or written correspondence

Diagnostic Order Coordination:

• Manage and track diagnostic orders throughout the order cycle
• Schedule appointments, obtain necessary prior authorizations, and provide timely patient notifications
• Follow up on pending or incomplete orders, assisting patients in rescheduling as needed
• Refer patients with barriers (transportation, language, financial, etc.) to Case Management for additional support

Customer Service & Communication:

• Provide excellent customer service to both internal teams and external healthcare partners
• Respond to patient inquiries regarding referrals, pre-authorizations, and appointment processes
• Ensure proper documentation in the Electronic Health Record (EHR) system and maintain tracking logs

Qualifications & Skills

• Education: High School Diploma or Equivalent

• Experience:

• Two or more years of healthcare experience preferred

• Strong clinical and administrative skills

• Culturally competent with experience working with diverse populations

• Technical Skills:

• Intermediate proficiency in Microsoft Office and EHR systems

• High degree of accuracy, attention to detail, and multitasking ability

• Other:

• Professional demeanor with strong communication skills

• Ability to prioritize tasks and manage time efficiently

Why Join Valley-Wide?

Valley-Wide Health Systems, Inc. is dedicated to providing high-quality, patient-centered healthcare to all individuals across our multi-county service area in southern Colorado. As a non-profit, Federally Qualified Health Center (FQHC), we offer premier primary and preventive care through our 34 service sites strategically located in rural communities.

We offer a comprehensive benefits package, including:

• Free Health Insurance (additional plan options available)
• Employer-paid Air Ambulance Coverage (MASA)
• Employer-paid Basic Life, LTD, STD
• Retirement Match
• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• Paid Leave:
• Vacation: 10 days accrued per year
• Sick Leave: 12 days accrued per year
• Holidays: 7 days per year + 3 Floating Holidays

For more information and to apply, visit our website: Valley-Wide Careers

Equal Opportunity Employer Statement: Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, or any other status protected by law. All qualified applicants will receive equal opportunity, with hiring decisions based on job-related factors.

Employee Rights Under the Family and Medical Leave Act (FMLA) For more information on employee rights under FMLA, please visit: FMLA Employee Rights