Referral Supervisor

2125

Remote?: 1

Highlights (Bonus, shift, relocation, info for job):

• Bachelors degree required or Minimum 8 years relevant equivalent experience may be substituted for education
• 2 years of experience is 2-3 years’ referral/medical records management
• Minimum five (5) years supervisory experience of teams greater than three (3) employees

Job Summary

 

This role is a leadership-focused and customer service position that is responsible for managing referral workflows, scheduling referrals, supporting staff, monitoring results, and reporting to senior management. Referral Supervisors contribute to the efficiency of their department by reviewing and improving processes and setting goals for their teams.

 

Duties and Responsibilities

 

• Track and monitor all referral processes to ensure quality and timely completion.
• Coach and provide training for Referral Coordinators
• Maintain ongoing tracking and appropriate documentation of referrals to promote team awareness and ensure patient safety.
• Contribute to process improvement recommendations for centralized team.
• Foster strong relationships with external specialty offices, facilities, and internal care team members.
• Assists Referral Coordinators with resolving issues pertaining to referrals.
• Conduct and participate in team meetings.
• Serve as the primary point of contact for providers and specialists to address questions or emerging concerns.
• Run referral reports and analyze data to hold accountability to team.
• Ensure timely follow-up on referrals, monitoring the process from initiation to completion.
• Deliver excellent customer service, providing patients with clear, relevant information and supporting them in coordinating specialist referrals.
• Monitor the referral management system for new requests, tracking progress, and ensuring the documentation loop is closed.
• Address any changes in primary care provider (PCP) assignments that could affect existing referrals, handling these appropriately.
• Provide patients with both verbal and written (preferably electronic) instructions, including any specific guidelines from the specialist office.
• Stay informed on participating insurance plans, including referral requirements, eligibility, copayments, coverage limitations, and in-network/out-of-network benefits.
• Ensure compliance with all company policies, procedures, and regulatory requirements.
• Conduct post-appointment follow-ups with specialist providers to obtain documentation and ensure the referral is fully completed.
• Troubleshoot coverage issues or scheduling barriers, escalating to providers or management as needed.
• Manage HR issues with team to include disciplinary action, annual and midyear evaluations, and other responsibilities as they arise.

 

Minimum Qualifications

 

• Bachelors degree required or Minimum 8 years relevant equivalent experience may be substituted for education.
• 8 years of experience equivalent.
• 2 years of experience is 2-3 years’ referral/medical records management
• Minimum five (5) years supervisory experience of teams greater than three (3) employees
• Experience working with Clinicians.
• Experience reviewing data and making decisions based of the data.
• Personal and professional passion to help improve healthcare delivery.
• Ability to multi-task, highly organized with excellent communication and customer service skills.
• Excellent computer skills, including knowledge of Microsoft Office.
• Experience working in EHRs (preferably eClinicalWorks).

 

Working conditions

 

This job operates in a remote location from your home location.  This role requires a dedicated, quiet workspace with the ability to adhere to HIPPA and other privacy policies.  A reliable and high-speed Wi-Fi connection or home internet is required to perform the essential functions of this role.

 

Physical requirements

 

• Ability to communicate clearly and exchange accurate information constantly.
• Ability to remain stationary for long periods of time.
• Constantly operates computer, keyboard, phone, and other general office equipment.

 

 

Direct reports

(Lead) or Care Coordination Specialist

All Employees are expected to maintain the security and privacy of all information that is owned by AbsoluteCare or maintained on behalf of the company’s patients, employees, and business partners. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.  This description reflects management’s assignment of essential functions, it does not proscribe or restrict the tasks that may be assigned.  This job description is subject to change at any time.

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer. 

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works. 

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT².

AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

EEO Employer Verbiage: AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.