Referral Coordinator Jobs

Home Health Clinical Referral Coordinator

Company: Compassus Position Summary The Home Health Clinical Referral Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Clinical Referral Coordinator is responsible for managing and processing referrals for home health services. They serve as the primary point person in the referral process, ensuring that all necessary documentation and information is collected in order for home health services to be initiated or resumed. This position requires clinical knowledge in additional to technical skills to provide clinical support through the home health referral process. They ensure compliance with regulatory requirements and maintain accurate patient records. Quality, accuracy, and timeliness are critical components to the success of this position. Position Specific Responsibilities + Reviewing, processing, and verifying all referral elements are present for an admission. + Coordinates referral management with referral sources and Compassus teammates to gather all necessary documentation for a referral to be complete. + Maintains consistent knowledge of program referral capacity including daily, weekly, and monthly admission targets. Ability to collaborate with program teams to manage these targets on a daily, weekly, and monthly basis. + Collaboration with internal teammates, referral sources, and patient/family on the referral, admission, and resumption of care process. + Drives clinical decisions in collaboration with program teammates to support referral and eligibility decisions. + Supports clinical and non-clinical teammates by teaching, coaching, and guiding teammates. + Engages with referral portals for effective referral management. + Participates in agency quality improvement programs as necessary. + Participates in regularly scheduled daily stand-up meetings for coordination of services, exchange of information and problem solving, and to receive staff support and education as requested. + Applies the policies and procedures of the home health program and the rules and regulations of Federal and State regulatory agencies, including HIPAA, and other certifying agencies in performing duties. + Maintains confidentiality of necessary information. + Utilizes Best Practices shared by the program and support teams to drive an efficient referral to admission process. + Manages patient records through the referral process and updates systems with accurate and current information. + Participates in training courses/sessions as required. + Participates in program meetings as needed. + Prepares reports and data as required and requested. + Organizes and prioritizes large volumes of information. + Displays exceptional customer service to patients/families/referral sources. + Handles confidential and non-routine information. + Triages incoming calls and inquires to the appropriate teammate. + Provides home health information to patients/families as needed. + Captures required information through the referral and intake process. + Performs other duties as assigned. + Obtains orders and documentation needed for admission and/or resumption of care. + May need to work in the field to support clinical needs of a program. This may require carrying a patient load expectation. Education and/or Experience High school diploma or GED required. Associate or Bachelor's degree preferred. Two (2) to three (3) years of related experience and/or training strongly preferred. An equivalent combination of education and experience will be considered. Experience in insurance and Medicare/Medicaid billing and reimbursement preferred Skills Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Effective communication skills with physicians, nurses, and other healthcare personnel. Computer Skills: Utilizes computer software applications effectively in word processing, spreadsheets, database, EMR, and presentation software (MS Word, Excel, Access, PowerPoint, EMR systems and associated software applications). Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Certifications, Licenses, and Registrations Active and unencumbered Licensed Practical Nurse/Licensed Vocational Nurse/Registered Nurse license in state(s) of employment required. Current CPR certification required. Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization. At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. Career Development: Access leadership pathways, mentorship, and personalized professional development. Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. * A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Home Health Clinical Referral Coordinator

Company: Compassus Position Summary The Home Health Clinical Referral Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Clinical Referral Coordinator is responsible for managing and processing referrals for home health services. They serve as the primary point person in the referral process, ensuring that all necessary documentation and information is collected in order for home health services to be initiated or resumed. This position requires clinical knowledge in additional to technical skills to provide clinical support through the home health referral process. They ensure compliance with regulatory requirements and maintain accurate patient records. Quality, accuracy, and timeliness are critical components to the success of this position. Position Specific Responsibilities + Reviewing, processing, and verifying all referral elements are present for an admission. + Coordinates referral management with referral sources and Compassus teammates to gather all necessary documentation for a referral to be complete. + Maintains consistent knowledge of program referral capacity including daily, weekly, and monthly admission targets. Ability to collaborate with program teams to manage these targets on a daily, weekly, and monthly basis. + Collaboration with internal teammates, referral sources, and patient/family on the referral, admission, and resumption of care process. + Drives clinical decisions in collaboration with program teammates to support referral and eligibility decisions. + Supports clinical and non-clinical teammates by teaching, coaching, and guiding teammates. + Engages with referral portals for effective referral management. + Participates in agency quality improvement programs as necessary. + Participates in regularly scheduled daily stand-up meetings for coordination of services, exchange of information and problem solving, and to receive staff support and education as requested. + Applies the policies and procedures of the home health program and the rules and regulations of Federal and State regulatory agencies, including HIPAA, and other certifying agencies in performing duties. + Maintains confidentiality of necessary information. + Utilizes Best Practices shared by the program and support teams to drive an efficient referral to admission process. + Manages patient records through the referral process and updates systems with accurate and current information. + Participates in training courses/sessions as required. + Participates in program meetings as needed. + Prepares reports and data as required and requested. + Organizes and prioritizes large volumes of information. + Displays exceptional customer service to patients/families/referral sources. + Handles confidential and non-routine information. + Triages incoming calls and inquires to the appropriate teammate. + Provides home health information to patients/families as needed. + Captures required information through the referral and intake process. + Performs other duties as assigned. + Obtains orders and documentation needed for admission and/or resumption of care. + May need to work in the field to support clinical needs of a program. This may require carrying a patient load expectation. Education and/or Experience High school diploma or GED required. Associate or Bachelor's degree preferred. Two (2) to three (3) years of related experience and/or training strongly preferred. An equivalent combination of education and experience will be considered. Experience in insurance and Medicare/Medicaid billing and reimbursement preferred Skills Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Effective communication skills with physicians, nurses, and other healthcare personnel. Computer Skills: Utilizes computer software applications effectively in word processing, spreadsheets, database, EMR, and presentation software (MS Word, Excel, Access, PowerPoint, EMR systems and associated software applications). Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Certifications, Licenses, and Registrations Active and unencumbered Licensed Practical Nurse/Licensed Vocational Nurse/Registered Nurse license in state(s) of employment required. Current CPR certification required. Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization. At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. Career Development: Access leadership pathways, mentorship, and personalized professional development. Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. * A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Referral Coordinator - ACT Team - Day Shift

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The referral coordinator is responsible for coordinating internal and external specialty care referrals for patients as requested by the primary care physician. The referral coordinator will also be responsible for scheduling, tracking, referral case management and providing reports. The referral coordinator will be professional and promote the core values and mission of Grady Health System, always exercising utmost discretion, diplomacy and tact in customer interactions. High School diploma or GED required Prior experience in appointment scheduling, patient access, billing, customer service or health care is required. Inbound high volume call center experience is preferred. Must be able to accurately type a minimum of 30 WPM. Must possess data entry and customer service skills and a clear and present speaking voice. Must possess general knowledge of radiological procedures, exam preparations, exam sequencing, and other related functions. Medical assistant or CPAR certifications preferred. Billing preferred Knowledge of medical terminology is highly preferred. Knowledge of Siemens OAS Gold/Siemens Invision health information system, word processing, and spreadsheet programs is preferred. Core Competencies These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment. 1. Patient-Centered Care – Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families. 2. Integrity \& Accountability – Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes. 3. Collaboration \& Teamwork – Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals. 4. Communication – Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership. 5. Respect \& Inclusion – Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all. 6. Quality \& Safety – Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes. 7. Adaptability \& Resilience – Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure. 8. Continuous Improvement – Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback. 9. Leadership \& Professionalism – Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency. 10. Employee Experience Focus – Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care. Grady Total Rewards At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including: Health \& Wellness: Medical, dental, vision, and prescription drug coverage. Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage. Work-Life Balance: Paid time off, holidays, and family leave benefits. Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement. * Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services. Grady’s Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond. Why Join Grady? Grady Health System is more than a hospital — we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaboration. Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued. At Grady, we don’t just work, we make an impact. Equal Opportunity Employer Statement: Grady Health System is proud to be an equal opportunity employer. We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed. We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic. Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.

Administrative and Referral Coordinator - Orthopedic Surgery

POSITION SUMMARY: The primary purpose of the job is to serve as a liaison for patients in all communications regarding care rendered in the department. Serves as a liaison with patients facilitating access to care, gathering information for registration, schedules appointments, verify demographics and financial information. Obtains pre-authorization from insurance carriers. Responds to faxes and phone calls from patients, BMC departments and outside Facilities. Assists the Department to meet targets. Facilitates communication as follows: between patient and providers, nurse practitioners and medical assistants\ Between patient's referring physician and BMC other departments, including assuring that correspondence is disseminated properly \ Between providers and office support personnel. Position: Administrative and Referral Coordinator Department: Orthopedic Clinic Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: 1. Registration/Admission/Pre-Scheduling: Interview all patients, families or referring physicians to obtain all financial and demographic information required for reimbursement for services rendered. Enters patient registration data into appropriate systems according to established procedures to ensure proper reimbursement from third party payers (workers’ compensation, motor vehicle accidents, etc.) and patients. Corresponds with insurance companies, health centers and other health facilities to obtain necessary prior approval numbers to ensure proper billing for payment of services prior to rendering their service. Enter information into system as appropriate. Verifies third-party insurance coverage (workers’ compensation, motor vehicle accidents, etc.) for prospective patients and verifies day of service eligibility for appropriate insurance. Directs patients with financial concerns and directs them to staff who can assist them in the completion of necessary forms and applications for financial assistance from private and/or public funding. Adjuncts free care applications. Collects deposits for flat fees and co-payments, as appropriate. Verifies and updates demographics, insurance and provider information on existing and new patients. Assigns medical record numbers to new patients in order to ensure current information in the Master Patient Index (MPI) upon completion of a registration. Creates and/or updates occasion of service for surgical cases and other non-surgical visits or appointments during which referring physician and insurance information is recorded and electronically transmitted to other users within the Medical Center, i.e. labs, radiology and billing departments. Prior to scheduling verifies that procedure meets medical necessity screening using appropriate software. Verifies using appropriate electronic device the type of coverage and if prior approval for service is necessary for payment of services rendered. Referral Management Coordinates managed care activities and devises program changes and developments to solve problems. Works cooperatively with administrative staff and providers to process referrals for patients. Accurately documents approval number, number of visits authorized, and type of service approved in the hospital registration system. Completes the paperwork for referral authorizations and submits to appropriate managed care organization in a timely manner. Delegates this task to patient access reps, as appropriate. Prospectively identify patients who require authorization for specialty care and obtains appropriate provider approval prior to the appointment date. Effectively communicates alternatives to patient if service is denied. Generates audit reports from the Boston Medical Center registration and appointment scheduling system to monitor, troubleshoots inefficiencies in the referral authorization process. Recommends interventions to and work with practice manager to resolve. Coordinate and assist with the updating of primary care provider assignments, member enrollment, disenrollment and transfers in the hospital registration system. Serve as a resource for clinical and administrative staff regarding managed care guidelines and affiliated managed care plans. Attends orientations conducted by managed care organizations, trains appropriate practice staff and operationalizes new procedures at the practice. Prepares and reviews automated registration and appointment scheduling reports on billing edits, registration quality, patient no shows, etc. Initiates and implements corrective action as necessary. Monitors patient flow and patient satisfaction. Prospectively identify potential issues. Trouble-shoot issues and work with Practice Manager to develop and implement systems to enhance efficiency. 3. Scheduling Answers telephone promptly and schedules surgical cases. Acts as an expert and liaison to facilitate surgeon’s offices in scheduling cases. Utilizes expertise and knowledge of O.R., Anesthesia and other areas to schedule all procedures based on type, allocation of operative team, time availability and specialty instruments. Determines limitation of cases by analyzing all of the above information. Handles all last minute calls (emergency, cancellations, and elective) and is able to appropriately assign priority. Ability to cope with high-pressure situations and demonstrate independent thinking and decision making as well as a high level of diplomacy. Deals discreetly with sensitive information, maintaining confidentiality at all times. Obtains and enters patient information and procedure data into hospital computer systems (SDK as appropriate). Reviews the following day OR schedule to finalize the schedule and to ensure data accuracy. At 24 hours before scheduled procedures, re-verifies, using appropriate electronic device, the type of coverage and ensure that appropriate prior approval has been completed. Maintains records and files, as needed. Prepares reports relative to daily schedules, as needed. Responds to patient phone inquiries regarding office appointments, dates for surgery, and cost of surgery/hospital admission. Appointment Scheduling Uses computer to schedule appointments necessary for follow up appointments, H\&Ps or other ancillary appointments, as appropriate. Uses Outlook Calendar (or other appropriate scheduling software) and other computer programs to monitor the schedules of physicians avoiding conflicts and assuring that all commitments are properly noted on the physician’s schedules. Performs cross-booking appointment scheduling for social services, interpreters, preadmission screening, radiology and other clinical area appointments, as appropriate. Reschedules patients from cancelled or bumped surgical procedures. Facilitates urgent surgical appointments. BMC /Professional Physician Billing Functions Collects and organizes encounter forms after each clinic session. Reads and reviews each encounter form for completeness of data and data accuracy to assure clean claims processing. Follows departmental process plan for review of encounter form data. Research in the hospital information system any missing data required for charge entry processing. Enters charge information from the encounter form into the Hospital’s information system for all clinic visits and procedure codes. Acts as liaison with all providers regarding gathering/capturing charge information and sending it to appropriate billing agent. Will organize encounter forms and prepare batch billing form to deliver to physician professional billing agent. Will liaison with professional billing agent on any trouble shooting issue and information gathering to assure claims processing. Implements and monitors quality control systems to track accuracy of submitted information. Assures charges and/ or reports are submitted daily. Extracts from hospital information system a series of reports that reconcile all encounter forms have been completed, encounter forms collected, patient visit encounter/arrival complete, patient insurance referral authorization in system, patient demographic and insurance information complete and accurate, charges fully entered. Extracts and prints from information system bill edit, missing authorization, missing charges, and missing diagnosis reports. Extracts other financial reports as needed to reconcile and verify charge entry process is complete and current. Liaison with ambulatory project manager leadership on any matter of failed charge entry process. Training/Orientation Support Attends scheduled training sessions for systems upgrades or newly acquired clinical systems, registration updates, available resources for verifying insurance, and all trainings as required. Attends and participates in meeting and/or committees, as required. Develops competencies as related to position. Provides feedback/orientation and support to other staff related to the scope of this position. Other Support Duties Answers telephone calls in a courteous manner, maintains department files, and responds to inquiries from personnel, patients and physicians. Faxes patient records to other providers and insurance notification to insurers. Maintains an adequate inventory of office supplies and order as needed. Performs manual clinic scheduling and registration functions using accepted downtime procedures. Contacts the Help Desk at the BMC computer department to report faulty systems or hardware. Notifies area manager of problem(s) to ensure that it is addressed in a timely manner. Provides coverage to other areas under the direction of a manager and/or supervisor. Organizes work area for efficiency, neatness and safety. Communicates with all members of staff on work related issues effectively and courteously. Assures that all messages for physicians and designees are accurate and forwarded promptly to the physician and/or designee. May assist in the preparation and submittal of payroll report as necessary. Routinely handles large amounts of sensitive, confidential information and maintains confidentiality. Analyses problems in order to determine appropriate course of action and offers constructive suggestions to improve efficiency in office operations Meets hospital-wide standards in the following areas: Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, so that the best possible customer service and patient care can be provided. Utilizes hospital’s Values as the basis for decision-making and to facilitate the division’s hospital mission. Follows established hospital infection control and safety procedures Maintain proper dress code. OTHER DUTIES: Perform other duties as needed. Must adhere to all of BMC’s RESPECT behavioral standards. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: High School diploma required. Additional professional certifications or completion of business school preferred. EXPERIENCE: Requires thorough knowledge of managed care with 3 years of experience of financial clearance. 3 years of referral scheduling experience preferred. KNOWLEDGE AND SKILLS: Working knowledge of managed care: overall understanding of HMO, PPO, and others; proficient knowledge of process of obtaining insurance approvals, referrals, billing, and co-payments. Experience handling patient flow is helpful Requires strong computer skills and knowledge of the PC applications. Windows environment and Microsoft Office products preferred. Excellent English communication skills (verbal and written). Excellent professional demeanor. Must be able to work effectively with all levels of staff and management Excellent interpersonal skills. Must be able to show empathy and be courteous and diplomatic with patients. Must frequently work independently, take initiative and handle multiple tasks with conflicting priorities. Team player with ability to work cross-organizationally to get issues resolved. Ability to maintain confidentiality. Compensation Range: $21.39- $30.05 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

Referral Coordinator

Referral Coordinator Location: Atlanta, GA Schedule: Full-time Hourly, Monday to Fridday 11AM to 8PM Compensation: Competitive hourly rate + benefits Perks: Key role in patient care coordination, collaborative team environment, growing healthcare organization About OrthoAtlanta Become part of OrthoAtlanta, the largest independent physician-owned orthopedic and sports medicine practice in Georgia, and contribute to our mission of providing comprehensive orthopedic care. At OrthoAtlanta, you'll be an integral member of a dedicated team of Healthcare Professionals committed to enhancing our patients' quality of life. We offer diverse career paths for talented individuals seeking professional growth and development within a supportive and rewarding work environment where your contributions will make a significant impact. What You'll Do As a Referral Coordinator at OrthoAtlanta, you’ll: Prioritize and schedule referrals based on urgency, ensuring timely follow-up and seamless handoffs to specialists and providers Accurately collect and enter demographic, insurance, and clinical information into the EMR to support referral processes Verify insurance benefits, contact payers for pre-authorization, and communicate clinical details when necessary to establish medical necessity Explain referral expectations, co-pays, or deductibles, and answer questions to ensure patients are informed and prepared Build strong relationships with referral offices, community providers, and internal teams to support smooth transitions of care Serve as a go-to contact for staff regarding authorizations, procedural codes, and insurance requirements A Great Fit If You… Are highly organized and thrives on coordination and accuracy Understand insurance plans and authorization requirements Communicates clearly, compassionately, and professionally Love helping patients feel informed, supported, and confident What You’ll Need High School Diploma or equivalent Minimum 2 years of experience in a medical office or clinical environment Knowledge of insurance plans and verification procedures Customer service experience in a patient-facing role Familiarity with medical terminology (preferred) Experience using Epic EMR system (preferred) Strong organizational, multitasking, and time management skills Excellent verbal and written communication skills Discretion and professionalism in handling patient information Why OrthoAtlanta? Play a vital role in helping patients access timely, appropriate care Work in a mission-driven, team-oriented clinical environment Gain valuable experience across clinical, billing, and administrative workflows * Make a meaningful daily impact on patients and healthcare delivery Are you ready to bring your expertise to a team committed to excellence in Orthopedics? Apply today and join a team that puts patients first!

Home Health Clinical Referral Coordinator

Company: Compassus Position Summary The Home Health Clinical Referral Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Clinical Referral Coordinator is responsible for managing and processing referrals for home health services. They serve as the primary point person in the referral process, ensuring that all necessary documentation and information is collected in order for home health services to be initiated or resumed. This position requires clinical knowledge in additional to technical skills to provide clinical support through the home health referral process. They ensure compliance with regulatory requirements and maintain accurate patient records. Quality, accuracy, and timeliness are critical components to the success of this position. Position Specific Responsibilities + Reviewing, processing, and verifying all referral elements are present for an admission. + Coordinates referral management with referral sources and Compassus teammates to gather all necessary documentation for a referral to be complete. + Maintains consistent knowledge of program referral capacity including daily, weekly, and monthly admission targets. Ability to collaborate with program teams to manage these targets on a daily, weekly, and monthly basis. + Collaboration with internal teammates, referral sources, and patient/family on the referral, admission, and resumption of care process. + Drives clinical decisions in collaboration with program teammates to support referral and eligibility decisions. + Supports clinical and non-clinical teammates by teaching, coaching, and guiding teammates. + Engages with referral portals for effective referral management. + Participates in agency quality improvement programs as necessary. + Participates in regularly scheduled daily stand-up meetings for coordination of services, exchange of information and problem solving, and to receive staff support and education as requested. + Applies the policies and procedures of the home health program and the rules and regulations of Federal and State regulatory agencies, including HIPAA, and other certifying agencies in performing duties. + Maintains confidentiality of necessary information. + Utilizes Best Practices shared by the program and support teams to drive an efficient referral to admission process. + Manages patient records through the referral process and updates systems with accurate and current information. + Participates in training courses/sessions as required. + Participates in program meetings as needed. + Prepares reports and data as required and requested. + Organizes and prioritizes large volumes of information. + Displays exceptional customer service to patients/families/referral sources. + Handles confidential and non-routine information. + Triages incoming calls and inquires to the appropriate teammate. + Provides home health information to patients/families as needed. + Captures required information through the referral and intake process. + Performs other duties as assigned. + Obtains orders and documentation needed for admission and/or resumption of care. + May need to work in the field to support clinical needs of a program. This may require carrying a patient load expectation. Education and/or Experience High school diploma or GED required. Associate or Bachelor's degree preferred. Two (2) to three (3) years of related experience and/or training strongly preferred. An equivalent combination of education and experience will be considered. Experience in insurance and Medicare/Medicaid billing and reimbursement preferred Skills Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Effective communication skills with physicians, nurses, and other healthcare personnel. Computer Skills: Utilizes computer software applications effectively in word processing, spreadsheets, database, EMR, and presentation software (MS Word, Excel, Access, PowerPoint, EMR systems and associated software applications). Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Certifications, Licenses, and Registrations Active and unencumbered Licensed Practical Nurse/Licensed Vocational Nurse/Registered Nurse license in state(s) of employment required. Current CPR certification required. Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization. At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. Career Development: Access leadership pathways, mentorship, and personalized professional development. Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. * A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Home Health Clinical Referral Coordinator

Company: Compassus Position Summary The Home Health Clinical Referral Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Clinical Referral Coordinator is responsible for managing and processing referrals for home health services. They serve as the primary point person in the referral process, ensuring that all necessary documentation and information is collected in order for home health services to be initiated or resumed. This position requires clinical knowledge in additional to technical skills to provide clinical support through the home health referral process. They ensure compliance with regulatory requirements and maintain accurate patient records. Quality, accuracy, and timeliness are critical components to the success of this position. Position Specific Responsibilities + Reviewing, processing, and verifying all referral elements are present for an admission. + Coordinates referral management with referral sources and Compassus teammates to gather all necessary documentation for a referral to be complete. + Maintains consistent knowledge of program referral capacity including daily, weekly, and monthly admission targets. Ability to collaborate with program teams to manage these targets on a daily, weekly, and monthly basis. + Collaboration with internal teammates, referral sources, and patient/family on the referral, admission, and resumption of care process. + Drives clinical decisions in collaboration with program teammates to support referral and eligibility decisions. + Supports clinical and non-clinical teammates by teaching, coaching, and guiding teammates. + Engages with referral portals for effective referral management. + Participates in agency quality improvement programs as necessary. + Participates in regularly scheduled daily stand-up meetings for coordination of services, exchange of information and problem solving, and to receive staff support and education as requested. + Applies the policies and procedures of the home health program and the rules and regulations of Federal and State regulatory agencies, including HIPAA, and other certifying agencies in performing duties. + Maintains confidentiality of necessary information. + Utilizes Best Practices shared by the program and support teams to drive an efficient referral to admission process. + Manages patient records through the referral process and updates systems with accurate and current information. + Participates in training courses/sessions as required. + Participates in program meetings as needed. + Prepares reports and data as required and requested. + Organizes and prioritizes large volumes of information. + Displays exceptional customer service to patients/families/referral sources. + Handles confidential and non-routine information. + Triages incoming calls and inquires to the appropriate teammate. + Provides home health information to patients/families as needed. + Captures required information through the referral and intake process. + Performs other duties as assigned. + Obtains orders and documentation needed for admission and/or resumption of care. + May need to work in the field to support clinical needs of a program. This may require carrying a patient load expectation. Education and/or Experience High school diploma or GED required. Associate or Bachelor's degree preferred. Two (2) to three (3) years of related experience and/or training strongly preferred. An equivalent combination of education and experience will be considered. Experience in insurance and Medicare/Medicaid billing and reimbursement preferred Skills Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Effective communication skills with physicians, nurses, and other healthcare personnel. Computer Skills: Utilizes computer software applications effectively in word processing, spreadsheets, database, EMR, and presentation software (MS Word, Excel, Access, PowerPoint, EMR systems and associated software applications). Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Certifications, Licenses, and Registrations Active and unencumbered Licensed Practical Nurse/Licensed Vocational Nurse/Registered Nurse license in state(s) of employment required. Current CPR certification required. Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization. At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. Career Development: Access leadership pathways, mentorship, and personalized professional development. Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. * A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Referral Coordinator

Referral Coordinator TEKsystems Posted Monday, January 26, 2026 Posting ID: JP-005792289 Job Description The Referral Specialist is responsible for obtaining referrals from each patient’s primary care provider (PCP) for all scheduled visits, as well as verifying current insurance coverage. Primary Responsibilities - Obtain referrals for office visits across all clinic locations. - Coordinate and schedule all incoming referrals. - Routinely review provider schedules to identify any add‑on appointments requiring referrals. - Serve as a representative to referring physician offices, insurance carriers, and patients. - Communicate with the billing department as needed regarding referral or insurance-related issues. - Collaborate with the Patient Services Representative (PSR) team to ensure all referrals are processed accurately and in a timely manner. Required Skills - Receptionist and front desk experience - Administrative and clerical support - Healthcare or medical office experience - M

Referral Response Coordinator

$38 - $52/yr

Referral Response Coordinator San Ramon, CA Organ Referral / Full Time Non-Exempt / Hybrid Donor Network West’s mission is to save and heal lives through organ and tissue donation for transplantation and research. At Donor Network West, we're looking for people who embody our core values: passion, excellence, equity and inclusion, and relationships. We welcome diverse perspectives and foster an environment of collaboration and service. POSITION SUMMARY The Referral Response Coordinator I is responsible for providing response to donor referrals, donor evaluation, referral management, and collaborates with hospital staff and physicians in referral management. Additionally, the Referral Response Coordinator supports donor families, provides family care, and may provide families with the option of organ and/or tissue donation. These entire job function collaborates with other staff in varies departments at DNWest, and within the community of hospitals and coroner/medical examiner offices.