Referral Coordinator

4 days ago

Atlanta, Georgia, United States Ace Healthcare Solutions Full time $44,800 - $96,000 per year

Job Title: Referral Coordinator

ACE Healthcare Solutions is seeking a full-time experienced Referral Coordinator for one of its esteem clients located in Greater Atlanta to manage and oversee the daily operations of ensuring cost-effective operations in accordance with all legal, compliance and regulatory requirements, and programs. This position will have the potential to grow with the company. We are looking for a positive person who is interested in being successful and help take our company to the next level of service. The seasoned professional for this job needs excellent communication and management skills including familiarity with various Medical Billing Software's as well as Microsoft Office Suite, including Outlook, Word, and Excel. This role will specialize in Federally Qualified Health Center (FQHC) billing and will be responsible for receivables from insurance companies, patients and any other parties billed by the facility.

Position Summary:

The Referral Coordinator is responsible for managing and coordinating all patient referrals to ensure timely and efficient access to specialty care and diagnostic services. This role serves as a liaison between patients, providers, and external healthcare organizations to support continuity of care and optimal patient outcomes.

Key Responsibilities:

  • Review provider orders and process referrals to specialists, imaging centers, and other healthcare facilities.
  • Obtain necessary authorizations and pre-certifications from insurance companies.
  • Schedule appointments for patients with referred providers and communicate appointment details.
  • Track and follow up on outstanding referrals to ensure completion and receipt of reports/results.
  • Maintain accurate documentation of all referrals, authorizations, and communications in the electronic health record (EHR).
  • Communicate with patients to explain referral procedures, insurance requirements, and expected timelines.
  • Collaborate with clinical staff to resolve issues related to referral status, denials, or delays.
  • Ensure all referrals comply with HIPAA and organizational confidentiality standards.
  • Generate reports on referral metrics and identify areas for process improvement.

Qualifications:

  • Education: High school diploma or GED required; associate degree or healthcare-related coursework preferred.
  • Experience: 1–3 years of experience in a medical office, referral coordination, or insurance authorization role preferred.
  • Skills:
  • Strong organizational and communication skills
  • Proficiency with EHR systems and Microsoft Office Suite
  • Knowledge of medical terminology and insurance authorization processes
  • Ability to multitask in a fast-paced environment
  • Excellent attention to detail and follow-through

Work Environment:

  • Office or clinical setting with frequent phone and computer use.
  • May require sitting for extended periods

Job Type: Full-time

Pay: $ $22.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Work Location: In person

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