Referral Intake Coordinator

Position Summary

The Referral Intake Coordinator supports the agency’s patient intake process by processing referrals, gathering required patient and insurance information, verifying coverage and authorization requirements, and coordinating the timely transition of referred patients to home health services in accordance with applicable federal and state regulations, regulatory requirements, and established organizational policies and procedures. This position requires strong attention to detail, excellent customer service, and effective communication with referral sources, patients, families, and internal staff.

Essential Duties and Responsibilities

• Receives, reviews, and processes incoming patient referrals from hospitals, physicians’ offices, skilled nursing facilities, community providers, and other referral sources.
• Gathers and enters accurate patient demographic, insurance, clinical, and referral information into the agency’s electronic medical systems.
• Contacts referral sources, patients, and/or family members to obtain missing information and clarify referral details.
• Verifies insurance coverage, benefits, eligibility, and authorization requirements in accordance with payer guidelines and agency policy.
• Obtains and tracks required referrals, physician orders, face-to-face documentation, and other intake-related records.
• Coordinates the timely and complete transfer of referral information to clinical staff for admission processing.
• Maintains accurate logs and communicates referral status, pending items, and potential delays to appropriate internal staff and referral sources.
• Monitors referral workflow to support timely patient admissions and reduce incomplete or delayed referrals.
• Assists with insurance authorization follow-up and documentation collection as directed.
• Provides courteous, responsive, and professional customer service to referral sources, patients, families, and internal departments.
• Maintains positive working relationships with current and potential referral sources.
• Maintains knowledge of agency services, service area, admission criteria, and community resources to direct inquiries appropriately.
• Performs other duties as assigned.

Preferred Qualifications

• High school diploma or equivalent required.
• 3 to 5 years of healthcare intake, referral coordination, patient access, medical office, or insurance verification experience preferred.
• Familiarity with Medicare, Medicaid, and commercial insurance eligibility and authorization processes preferred.
• Knowledge of medical terminology and home health admission requirements is preferred.
• Proficiency with EMRs, referral management systems, and standard office software.
• Strong data entry, organizational, and computer skills.
• Ability to prioritize tasks, meet deadlines, and work accurately in a fast-paced environment.

Visiting Nurse Home Care and Hospice of Carroll County is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic under applicable law.

Expected hours: 40.0 per week

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Paid training
• Retirement plan
• Tuition reimbursement
• Vision insurance

Experience:

• Intake & Referral coordination: 3 years (Required)

Work Location: In person