Referral Coordinator

Join Our Team at Valley-Wide Health Systems, Inc.

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

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

Why Join Valley-Wide?

Valley-Wide Health Systems, Inc. is dedicated to providing high-quality, patient-centered healthcare to all individuals across our multi-county service area in southern Colorado. As a non-profit, Federally Qualified Health Center (FQHC), we offer premier primary and preventive care through our 34 service sites strategically located in rural communities.

We offer a comprehensive benefits package, including:

Free Health Insurance (additional plan options available)
Employer-paid Air Ambulance Coverage (MASA)
Employer-paid Basic Life, LTD, STD Retirement Match Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan Paid Leave:

Vacation: 10 days accrued per year

Sick Leave: 12 days accrued per year Holidays: 7 days per year + 3 Floating Holidays For more information and  our website:
Valley-Wide Careers Equal Opportunity Employer Statement:
Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, or any other status protected by law. All qualified applicants will receive equal opportunity, with hiring decisions based on job-related factors.

Employee Rights Under the Family and Medical Leave Act (FMLA) For more information on employee rights under FMLA, please visit: FMLA Employee Rights