Our Core Values

• We are solution seekers. The organization’s founders found solutions even during the AIDS crisis of the 80’s; we remain proactive, thrive on change, and always willing to take the lead.
• We have a can-do attitude. We are flexible, agile, and never say, “It’s not my job.” We always seek growth, and we are never late but always willing to stay late to see the last patient.
• We are mission driven. We are committed to health equity; recognize all contributions are meaningful and valued. It is never about the me or I, but about the we.
• We care about people. We celebrate diversity, equity, and inclusion; we are kind and practice acts of kindness, all in service to our patients and each other.

The Referral Coordinator provides services related to medical referrals and orders to outside providers and organizations. They also complete medication prior authorizations and works with the prior authorization team to support appeals and denials and is committed to the provision of patient centered/patient valued care.

Job Responsibilities

• Coordinates the completion of medical referrals to outside providers, specialists, imaging centers, or other medical facilities by identifying providers and facilities that are in network with the patient’s insurance; sending referrals and appropriate medical information, communicating with receiving facility and patient to ensure appointments are scheduled; and following up with patient and facilities to obtain records.
• Coordinates referrals to Parkland and other facilities who provide services to uninsured patients.
• Maintains a database of providers who accept various insurance plans
• Communicates with patients regarding any barriers to completing outside appointments and works with staff, providers, financial team, case management or other resources to overcome barriers to care.
• Coordinates with providers, clinic, and finance staff to complete medication prior authorizations and appeals, as needed.
• Completes the care loop by continuously updating patients and providers with the status of medical referrals and / or medication prior authorizations.
• Serves as a patient advocate, focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Assists in communicating these needs and preferences to the assigned clinical team.
• Maintains accurate and timely documentation of all activities performed.
• Other duties as assigned.

Required Skills and Qualifications

• Must be able to communicate effectively with patients, families, and Agency staff at all levels.
• Must be experienced with Microsoft Excel, Word, Outlook, Teams and data entry. Electronic medical records (EMR) experience preferred.
• Must have excellent organizational skills and ability to complete task independently.
• Bilingual preferred.

High school diploma or GED

Previous experience with referral coordination and prior authorizations preferred.