Referral Coordinator chez North Central Health Care

The Referral Coordinator Opportunity:

The Referral Coordinator serves as the primary point of contact for referrals into Outpatient Services. This role is responsible for managing all aspects of the referral process, including screening, scheduling, and coordination of care. The Referral Coordinator ensures timely and accurate processing of referrals from internal and external partners, collaborates with clinical teams, and supports patients through insurance verification, prior authorizations, and follow-up scheduling. The position requires strong organizational skills, excellent customer service, and the ability to effectively communicate with patients, providers, and community partners.

Compensation and Benefits:

• Starting pay $19.16 to $20.86 per hour, based on experience and education.
• This position is full-time and on-site.
• This role typically works business hours on weekdays.
• For full-time employees we offer PTO, paid holidays, health insurance, dental insurance, vision insurance, on-site bistro and cafeteria, employee assistance program, newly updated facility, and more.
• As a full-time employee of NCHC, you would be eligible for the Wisconsin Retirement System (WRS). The WRS is a hybrid defined benefit plan. It contains elements of both a 401(k) or defined contribution plan and a defined benefit plan. Participating staff contribute 6.95% and NCHC will match this at 100% each pay period!

What Qualifies You:

Required:

• High School diploma or equivalent
• One or more years of relevant scheduling or healthcare experience.
• Excellent customer service skills
• Basic working knowledge of computers and computer programs such as Microsoft Word, Microsoft Excel, Outlook Email, etc.
• Ability to establish and maintain positive working relationships with interdisciplinary team including physicians, therapists, and nurses.
• Ability to communicate effectively both in written and verbal
• Keyboarding skills including ability to use an Electronic Medical Record
• Exceptional phone etiquette
• Ability to multi-task

Preferred:

• Two or more years in referral coordinator in a healthcare facility, or closely related role.
• Experience working with a diverse patient population including severe and persistent mental illness and substance use
• Ability to communicate positively and with empathy
• Previous experience with Electronic Medical Records, like Cerner.
• Detail oriented

In evaluating candidates for this position, North Central Health Care may consider a combination of education, training, and experience which provides the necessary knowledge, skills, and abilities to perform the duties of this position. 

What You’ll Do:

• Receive and process referrals from internal providers, external organizations, courts, social services, probation/parole, hospitals, and self-referrals.
• Ensure all required releases of information and documentation are obtained in compliance with HIPAA.
• Add clients into the EMR and maintain accurate demographic and insurance information.
• Conduct intake assessments (ASAM or other tools) to determine level of care and schedule admissions accordingly.
• Coordinate with detox services, schedule follow-up appointments, and provide continuity of care planning.
• Prioritize clients based on statutory or regulatory requirements.
• Verify insurance eligibility, benefits, and prior authorization requirements through portals.
• Complete and submit prior authorizations, assist with utilization reviews, and track renewal timelines.
• Provide patients with resources for obtaining or activating insurance coverage.
• Schedule clients with appropriate credentialed providers to ensure compliance and reimbursement.
• Coordinate with registration specialists and front desk staff to support smooth patient check-in/out.
• Document all client communications in EMR and supplemental systems.
• Provide educational resources to community partners and clients regarding the referral process.
• Maintain accurate records for compliance and reporting purposes.
• Respectful, professional demeanor when interacting with patients, residents, families, visitors, volunteers, and staff.
• Provide in-house reminder calls to minimize no-shows.
• Perform other related duties as assigned.

Who We Are:

Nestled in the heart of Central Wisconsin, North Central Health Care (NCHC) is a healthcare organization formed over fifty years ago as a partnership between three Central Wisconsin counties - Langlade, Lincoln, and Marathon. NCHC employs approximately 775 professionals in diverse roles across a variety of care and work environments. We provide passionate and high-quality care for individuals and families within the fields of mental health treatment, addiction services, long term care, short term care, physical therapy, crisis stabilization and so much more. We have amazing employees who provide exceptional care and want to add to our team. You can visit our website at www.norcen.org/careers to learn more.

In compliance with the American with Disabilities Act, NCHC will provide reasonable accommodations to qualified individuals and encourages both prospective and current employees to discuss potential accommodations with the employer. North Central Health Care is an Equal Opportunity Employer.