Referral Coordinator

About the role

Habitat Health empowers older adults to experience more good days in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, and in - home assistance.

We deliver coordinated clinical and social care in our centers and directly in participants' homes, creating a fully integrated experience that brings peace of mind and a true sense of belonging. As we expand our scalable, affordable PACE model to meet the growing and complex needs of aging populations, our mission - driven care teams continue to help participants live well on their own terms.

Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults.

Role Scope

The Referral Coordinator position is responsible for accurate and timely data entry of referral requests into the appropriate portal. They are also responsible for follow-up on all specialty referrals and coordination of care for urgent referrals. The referral coordinator is an integral part of the care team, working as a liaison between the patient, providers, utilization management and various departments to ensure timely access to specialty care.

Core Responsibilities & Expectations for the Role

• Contribute to a center experience that Participants want to spend time in, a team culture that cares and creates joy, and an environment where all participants and team members belong.
• Continue to raise the bar. Constructively seek and share feedback, and help us implement changes in order to improve clinical outcomes and experience for participants.
• Exhibit and honor Habitat's values.
• Receive, review, and process referral requests from healthcare providers.
• Coordinate with specialists, hospitals, and other healthcare providers to schedule patient appointments.
• Ensure all referral information is accurate, complete, and compliant with healthcare regulations.
• Serve as a primary point of contact for patients, providers, and insurance companies regarding referral status.
• Provide patients with information on referral processes, appointment details, and any required pre-appointment preparations.
• Maintain effective communication with healthcare providers to ensure timely updates on referral statuses.
• Verify and update patient records in the electronic health record (EHR) system.
• Ensure all referral documentation, including medical records and insurance authorizations, is accurately maintained.
• Prepare and submit reports on referral activities and outcomes.
• Verify insurance coverage and obtain necessary authorizations for referred services.
• Work with insurance companies to resolve any issues related to coverage or authorization.
• Assist patients with understanding their insurance benefits related to referrals.
• Ensure compliance with all relevant healthcare regulations, including HIPAA.
• Maintain patient confidentiality at all times and ensure that all patient information is handled in a secure and confidential manner.
• Visit outside healthcare offices for relationship-building purposes, as needed.
• Performs related duties as assigned.

Required Qualifications

• High school diploma or GED required.
• Minimum of 2 years of experience.
• Strong organizational and multitasking abilities.
• Excellent communication and interpersonal skills.
• Proficiency in using EHR systems and other healthcare-related software.
• Knowledge of medical terminology, insurance processes, and healthcare regulations.
• Reliable and timely transportation to and from primary work location, and other locations to fulfill responsibilities listed. Reimbursement will be provided according to company mileage policy.

Preferred Qualifications

• Associate's or Bachelor's degree in healthcare administration, medical assisting, or a related field preferred.
• Medical Assistant certificate.
• Bilingual: Spanish/Mandarin/Cantonese preferred.
• A state issued driver's license, personal transportation, and auto insurance as required by law.

Location

• Sacramento, CA (Onsite)

Compensation

The anticipated base salary range for this position is $22.00 - $25.00per hour. T he final compensation offered will be determined based on factors including, but not limited to, the candidate's qualifications, skills, experience, education, certifications, geographical location, and business needs. In addition, this position is eligible for a comprehensive benefits package, including medical, dental, and vision insurance; paid parental leave, short- and long-term disability coverage; life insurance; flexible spending accounts; a 401(k) savings plan that includes a match; paid time off; and company paid holidays.

At-Will Employment

Employment with Habitat Health is at-will. This means that either the employee or the employer may terminate the employment relationship at any time, with or without cause, and with or without notice, subject to applicable law. Nothing in this job posting or any other company document is intended to create a contract of employment, express or implied, or to alter the at-will nature of employment.

Any written or oral statements to the contrary are not authorized unless made in writing and signed by an authorized representative of the Company.

Vaccination Policy, including COVID-19

To help maintain a safe environment for our participants and team members, Habitat Health maintains vaccination and infection control policies applicable to certain roles and work locations. For COVID-19 and influenza, team members who are working in a participant care setting are required to provide either proof of vaccination or a signed declination form and comply with applicable masking requirements while in a care setting to the extent permitted by law in the applicable jurisdiction.

As a condition of employment, team members are expected to comply with all applicable infection control protocols, personal protective equipment (PPE) requirements, and vaccination requirements associated with their role and work location, and to the extent required by law and as permitted in the applicable jurisdiction.