Referral Coordinator Espanola NM

EL CENTRO FAMILY HEALTH

NM

JOB DETAILS
SKILLS
Dental Insurance, Documentation, Electronic Medical Records, Employee Assistance Plan, English Language, Flexible Spending Accounts, HIPAA (Health Insurance Portability and Accountability Act), Health Education, Health Insurance, Health Plan, Healthcare, Healthcare Quality, Insurance Claims, Medicaid, Medical Terminology, Medicare, Multilingual, Nonprofit, Organizational Skills, Patient Care, Primary Care, Quality of Life, Spanish Language, Systems Maintenance, Team Player, Time Management, Vision Plan, Willing to Travel
LOCATION
NM
POSTED
5 days ago

Position Overview:

A Referral coordinator is a member of the patient care team who helps patients and providers with the referral process for specialty care and other referral needs. They ensure continuity of care by following protocols required by health plans. May also provide psychosocial support to individuals, families, and groups with chronic, acute, or terminal illness.

What you will do:

  • Complete, verify, and submit all records, forms, and insurance pre-authorizations on time.
  • Follow all healthcare laws, HIPAA guidelines, and patient privacy rules strictly.
  • Answer patient questions, schedule appointments, and give them clear instructions.
  • Use the eCW database and EMR system to update provider lists and log all referral data.
  • Send medical data to outside clinics and transfer related phone calls to the right provider.
  • Monitor referrals to ensure patients attend appointments and outside records are returned to ECFH.
  • Contact patients who miss their appointments and document the reasons why.
  • Handle other assigned duties, travel if required, and support ECFH policies.

Minimum requirements

Education: High school diploma or GED equivalent.

Experience: None

Preferred Requirements

Education:

Associate or bachelor''s degree in the health care field.

Experience:

Medical terminology and health insurance claims, Medicaid, and Medicare.

Minimum of two (2) years'' experience, with at least one (1) year experience in a related field.

Bi-lingual- Fluent English/Spanish

Knowledge of eClinicalWorks

Benefits

  • 401 k Retirement
  • 7 Paid Holidays
  • Medical, Dental, Vision Insurance
  • 100% Employer Paid Basic Life Insurance
  • Employee Voluntary Supplemental Benefits
  • Employee Assistance Program
  • Flexible Spending Account (FSA)

Who We Are:

As a Federally Qualified Health Center (FQHC) and 501(c)(3) nonprofit, El Centro Family Health is dedicated to providing affordable, accessible, and high-quality healthcare to the people of Northern New Mexico. Our mission is to enhance the quality of life in our community by delivering primary care and health education through a network of clinics and collaborative programs. At El Centro, we are committed to offering vital health services in a compassionate, supportive, and patient-centered environment.

Equal Employment Opportunity Statement:

El Centro Family Health is an equal opportunity employer. We do not discriminate based on race, color, religion, gender, gender identity, sexual orientation, national origin, disability, age, veteran status, or any other protected characteristic. We are committed to fostering a diverse and inclusive workplace for all.

About the Company

E

EL CENTRO FAMILY HEALTH