Referral Coordinator

GENERAL PURPOSE The Referral Coordinator Supervisor oversees referral coordination activities to ensure patients receive timely, accurate, and appropriate access to specialty care, diagnostic services, and other clinical resources.

This position leads referral staff, monitors workflows and service standards, resolves escalated issues, and collaborates with clinical and administrative teams to support continuity of care and a positive patient experience.

The supervisor is accountable for staff coaching, workload distribution, referral tracking, documentation quality, payer and authorization follow-up, and performance reporting.

The role promotes compliance with organizational policies, patient privacy requirements, payer guidelines, and applicable regulations.

Due to the nature of NHHC services, it may be necessary for the employee to work extended hours, or work schedules may be adjusted to meet operational needs, address urgent referral matters, or provide coverage during periods of high volume.

Reports to: Chief Operations Officer PRIMARY RESPONSIBILITIES Supervise, train, coach, and evaluate referral coordination staff; assign daily work and maintain adequate coverage.

Oversee the complete referral process, including order review, insurance verification, prior authorization, scheduling, records transmission, patient communication, and closure.

Monitor referral queues, turnaround times, aging reports, denials, incomplete orders, and appointment outcomes; intervene when service standards are not met.

Review documentation for accuracy and completeness and ensure referral activity is recorded promptly in the electronic health record and related systems.

Resolve escalated patient, provider, payer, and vendor concerns with professionalism and timely follow-through.

Coordinate with providers, nursing, front-office teams, health information management, revenue cycle staff, and external specialists to remove barriers to care.

Develop, implement, and maintain referral procedures, job aids, productivity standards, and quality-control processes.

Prepare and communicate operational reports, trends, and corrective-action plans for leadership.

Protect confidential information and ensure compliance with HIPAA, organizational policy, payer requirements, and applicable regulations.

Participate in Quality Improvement, Performance Improvement, required training, and departmental meetings.

Performs assigned duties in accordance with established NHHC policies, procedures, and applicable regulations.

Exercises independent judgment in managing day-to-day outreach operations while referring significant personnel, financial, strategic, compliance, partnership, grant-related, and programmatic matters to the Chief Operations Officer Director of Community Services and Grant Management for review and approval.

Perform other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES Working knowledge of referral management, managed care, insurance eligibility, prior authorizat...