Referral Coordinator

Why VCC?

Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S.

Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT.

Responsibilities

• Coordinate, process, obtain prior authorizations, and request reports for a variety of referrals requested by VCC clinicians.
• Collaborate with others to ensure successful tracking and completion of referrals.
• Complete all associated paperwork.
• Organize all necessary information from the patient medical record to accurately complete the referral authorization.
• Verify insurance information and check eligibility (through phone or insurance portals) as needed for referral purposes.
• Submit all appropriate information for referral including cover letters, pertinent progress notes, imaging or labs as related to the referral.
• Provide patients with referral information and instructions on how to contact specialist and schedule appointment.
• Act as liaison with referral providers and agencies.
• Document referral information in the Electronic Health Record using NextGen and HealthViewX (HVX).
• Use referral tracking system to move the referral through the process of Not Started-Pending-Follow-up and Closed.
• Document verifying receipt of consult, diagnostic and other required reports.
• Ensure documentation is scanned into patient chart and forwarded to Clinician.
• Act as liaison with referral clinicians and agencies.
• Availability to take phone calls and respond to voicemail and Email in a timely manner.
• Keep phone and Skype status up-to-date.
• Interact directly with patients, providing excellent care to all.
• Remain objective and non-judgmental.
• Regularly assist patients by answering questions and resolving issues that may arise during the referral process.
• Document all communication.

Requirements

• Minimum High school graduate or equivalent
• Minimum two years' experience in a medical, social service setting or related field
• Bilingual English/Spanish
• Preferred Medical assistant certification or equivalent training
• Familiarity with CPT an ICD codes

Qualifications

• Experience/familiarity with Practice Management and Electronic Medical Records systems, NextGen preferred
• Familiarity with Medical terminology and procedures and CPT and ICD codes.