Referral Coordinator - La Junta

Referral Coordinator

About the Role

Valley-Wide Health Systems is seeking a Referral Coordinator to support our clinical care teams by facilitating patient referrals and orders obtaining pre-authorizations and ensuring a seamless referral process. This role is essential in coordinating specialty care managing documentation and providing excellent customer service to patients and healthcare partners. If you are highly organized detail-oriented and passionate about patient care coordination we encourage you to apply!

Key Responsibilities

Patient Referrals & Pre-Authorizations:

• Obtain pre-authorizations in compliance with payer requirements
• Ensure referral providers and facilities are in-network based on insurance coverage
• Facilitate referral scheduling including direct coordination of appointments and assisting patients with potential barriers
• Track and follow up on scheduled and unscheduled referrals to ensure patient compliance
• Acquire specialty notes following completed appointments
• Communicate referral status to patients via phone or written correspondence

Diagnostic Order Coordination:

• Manage and track diagnostic orders throughout the order cycle
• Schedule appointments obtain necessary prior authorizations and provide timely patient notifications
• Follow up on pending or incomplete orders assisting patients in rescheduling as needed
• Refer patients with barriers (transportation language financial etc.) to Case Management for additional support

Customer Service & Communication:

• Provide excellent customer service to both internal teams and external healthcare partners
• Respond to patient inquiries regarding referrals pre-authorizations and appointment processes
• Ensure proper documentation in the Electronic Health Record (EHR) system and maintain tracking logs

Why Join Valley-Wide Health Systems

• Paid Leave:
  • Vacation: 10 days per year
  • Sick: 12 days per year
  • Holidays: 8 days per year plus 2 floating days
• Insurance & Financial Benefits:
  • Free health insurance (with additional coverage options available)
  • Health dental and vision insurance; Health Reimbursement Arrangement; Flexible Spending Account; Retirement Plan
  • Employer-paid air ambulance coverage (MASA) basic life insurance long-term and short-term disability insurance
• Organization Benefits:

• Wellness Program with opportunity to earn 8 hours off during fiscal year
• Volunteer Program Paid time off during fiscal year for volunteer work
• Free Employee Assistance Program -includes 6 free counseling sessions
• Gym Discounts
• Valley-Wide Scholarship financial assistance for education and training

At Valley-Wide we are committed to high-quality patient-centered care with a focus on serving medically underserved populations. Our comprehensive healthcare services include primary care dental care physical therapy pharmacy and behavioral health throughout the San Luis and Arkansas Valley in Southern Colorado.

As a Referral Coordinator you will play a key role in ensuring patients receive timely and appropriate care by coordinating referrals authorizations and diagnostic orders. Your efforts will directly impact patient access to specialty care and overall healthcare outcomes.

Apply today and become part of a team dedicated to making a difference!

Equal Opportunity Employer
Valley-Wide Health Systems Inc. is committed to providing equal opportunity for all applicants. We do not discriminate on the basis of race color religion national origin sex age disability or any other protected status. All selection decisions are based solely on job-related factors. Employee rights under the Family and Medical Leave Act (FMLA) apply.

Qualifications & Skills

• Education: High School Diploma or Equivalent
• Experience:
  • Two or more years of healthcare experience preferred
  • Strong clinical and administrative skills
  • Culturally competent with experience working with diverse populations
• Technical Skills:
  • Intermediate proficiency in Microsoft Office and EHR systems
  • High degree of accuracy attention to detail and multitasking ability
• Other:
  • Professional demeanor with strong communication skills
  • Ability to prioritize tasks and manage time efficiently