WHO WE ARE
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.
The role of the Referral Coordinator is to facilitate consistency of information shared across practices to promote care coordination and effective member co-management for behavioral and non-behavioral practitioners.
DUTIES & RESPONSIBILITIES
The Referral Coordinator job description is intended to point out major responsibilities within the role, but it is not limited to these items.
Prioritizes assigned patient cohorts to ensure specialty referral completion and ensures stat and expedited referrals are completed based on timeliness standards.
Schedules patients (Preferred Providers List of Specialist) and notifies them of appointment information, including, date, time, location, etc.
Ensures missed specialty appointments are rescheduled and communicated to the physician/clinician.
Ensures specialist notifications of referral status.
Completes exchange of information by retrieving and ensuring upload of specialty consultation and follow up notes.
Completes documentation based on standardized documentation; to include location, notification of specialist, patient notification, status of appropriateness reviews.
Enters all Inpatient and Outpatient elective procedures in EMR and contacts specialists for post-procedure referral needs.
Follows up on all Home Health and DME orders to ensure patient receives services ordered.
Completes appropriateness review based on clinical protocols and appropriately refers to Nurse or Medical Director
Addresses referral-based phone calls for Primary Care Physicians panel and completed phone messages timely.
Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.
EDUCATION AND PROFESSIONAL EXPERIENCE
(Licensures AND Certifications)
High School Diploma
Minimum 2 years of experience in medical management.
Capacity to interpret health plan benefit decisions.
Certification as a Medical Assistant preferred.
PROFESSIONAL COMPETENCIES
(List professional knowledge, attitude, and skills required to work in the job)
High level of critical thinking and problem-solving skills
Strong work ethic and overall positive attitude
Effective communication skills including verbal and written.
Ability to manage time effectively, understand directions, and work independently in a fast-paced environment.
Demonstrated flexibility, organization, and self-motivation.
Highly adaptable to change.
WORK ENVIRONMENT
The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Some travel may be required.
Centrum Health is redefining primary care with a patient-first, value-based approach that removes traditional barriers to access. Serving communities across Florida and Texas, we deliver comprehensive, coordinated care designed around the needs of the individuals and communities we serve. We believe healthcare should be simple, accessible, and centered on the patient. By bringing essential health services together under one roof, we create a seamless care experience that prioritizes prevention, whole-person wellbeing, and long-term health outcomes. Our consumer-centric model is supported by a dedicated care team focused on personalized treatment plans and proactive care strategies that address the whole person.
Centrum Health proudly accepts ACA Marketplace plans, Medicare, and Medicaid, reinforcing our commitment to accessible, high-quality care for diverse populations. Through integrated services and coordinated care delivery, we are making healthcare more effective, more convenient, and more personal
Welcome to Centrum Health—healthcare made for you.
