Referral Coordinator

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. To learn more, visit www.habitathealth.com. 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 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. <span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335557856":16777215,"335559685":720,"335559737":0,