Referral Supervisor

Referral Supervisor

General Job Summary:

The Supervisor, Referrals oversees day-to-day operations of the centralized referral authorization function, ensuring timely, accurate, and efficient processing of referral requests. This role leads a team responsible for referral coordination and authorization activities, supporting patient access to care while maintaining compliance with payer requirements and organizational standards.

The Supervisor drives workflow consistency, team performance, and quality outcomes, while supporting training, audit readiness, and continuous improvement across referral operations.

(This is a full time position that will support our TPC team at Southpark Monday to Friday 8 am to 5 PM)

Primary Job Responsibilities:

Referral Operations & Workflow Management

• Coordinates and supervises daily referral authorization activities, ensuring timely processing of referral requests from clinics
• Assigns and prioritizes work to support efficient workflow and patient access to specialty care
• Monitors referral status and facilitates resolution to ensure timely authorization and scheduling
• Ensures adherence to standardized referral workflows, payer requirements, and documentation standards
• Maintains clinician distribution lists and workflow assignments to support efficient referral routing

People Leadership & Team Development

• Supervises referral team members, including scheduling, timekeeping, and attendance management
• Conducts regular check-ins and performance evaluations to support accountability and development
• Participates in recruitment, interviewing, hiring, onboarding, and training of referral staff
• Provides coaching and feedback to ensure consistency, accuracy, and strong performance
• Partners with leadership and Human Resources to address performance concerns and implement corrective action as needed
• Promotes team engagement through recognition and a supportive, service-oriented environment

Quality, Compliance & Audit Readiness

• Monitors quality metrics, including rework rates, error trends, and audit findings
• Oversees audit processes and ensures compliance with organizational policies and payer requirements
• Identifies gaps in performance and partners with leadership to develop and implement corrective action plans
• Ensures accurate documentation, referral processing, and adherence to established standards

Operational Performance & Issue Resolution

• Monitors team productivity and workflow efficiency, addressing barriers to performance in a timely manner
• Troubleshoots clinician and clinic concerns related to referral processes and escalates issues as needed
• Serves as a subject matter resource for referral workflows, policies, and payer requirements
• Ensures timely resolution of issues impacting patient access or referral completion

Training, Workflow Standardization & Process Improvement

• Supports development and reinforcement of standardized workflows and training materials
• Ensures team members are fully onboarded, trained, and aligned with current processes and expectations
• Identifies opportunities for process improvements and implements changes to improve efficiency, accuracy, and patient access
• Promotes consistency in referral processing and reduces rework through clear workflows and expectations

Education and Experience

Required

• High School diploma or equivalent
• Experience in a medical office or healthcare setting supporting referral coordination, scheduling, or patient access
• Experience using electronic health records (EHR systems)
• Strong organizational, problem-solving, and communication skills
• Experience working with payer authorization or referral processes

Preferred

• Associate degree or equivalent combination of education and experience
• Experience in centralized referral or authorization functions
• Experience in a lead or supervisory role
• Experience with quality monitoring, audits, or process improvement

Physical Requirements

• Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
• Must be able to lift and support weight of 35 pounds.
• Ability to concentrate on details.
• Use of computers for long periods of time.