Referral and Reporting Coordinator at Adobe Care And Wellness LLC

Livingston, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jan, 26

Salary

0.0

Posted On

06 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Administrative Experience, Referral Coordination, Population Health, Care Coordination, Respiratory Care, Insurance Authorizations, EHR Systems, Data Management, Reporting Skills, Communication Skills, Organizational Skills, Analytical Skills, Interpersonal Skills, Problem-Solving, Customer Service, Compliance Knowledge

Industry

Hospitals and Health Care

Description

ABOUT ADOBE Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 committed to positively impacting the lives we touch. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized the last two years as one of “America's Fastest-Growing Private Companies” by Inc. 5000 and has earned a "Best Places to Work" award from the Phoenix Business Journal four years in a row. As one of the country's few fully integrated healthcare providers, APH offers a range of services which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. APH offers customized services for Medicaid, Medicare, and the ACA/Marketplace lines of business.  POSITION PURPOSE The Referral and Reporting Coordinator plays a key role in supporting the operational success of population health and respiratory care programs by ensuring timely and accurate management of patient referrals and the development of comprehensive reporting to track program performance. This role serves as the central point of coordination for both internal and external referrals, while also supporting data collection, analysis, and reporting for initiatives in Population Outcome Management, Complex Respiratory Management, Enhanced Respiratory Care, Quality Enhancement Initiatives, and Remote Monitoring. The Coordinator ensures seamless communication between clinical teams, external providers, and patients, while also maintaining compliance with regulatory standards and payer requirements. This role reports to the Population Outcomes Management Operations Manager and requires a highly organized, detail-oriented professional with strong communication and analytical skills. DUTIES & RESPONSIBILITIES Referral Coordination * Receive, review, and process incoming referrals for respiratory care, population health programs, and specialty services. * Verify insurance eligibility, authorization requirements, and referral documentation for accuracy and completeness. * Coordinate scheduling and communication between patients, internal providers, and external referral partners. * Maintain referral tracking systems to ensure timely follow-up, closed-loop communication, and continuity of care. * Collaborate with care management teams to prioritize urgent referrals and ensure patients receive care in a timely manner. Reporting & Data Management * Collect, analyze, and maintain data related to referrals, patient outcomes, and program utilization. * Prepare recurring and ad-hoc reports to support leadership, quality initiatives, and payer requirements. * Reconcile referral data with EHR and population health platforms to ensure data accuracy and completeness. * Support the development of dashboards and performance metrics to monitor referral volume, processing times, and program outcomes. * Partner with IT and data analytics teams to identify opportunities for improved reporting efficiency and automation. Quality, Compliance & Communication * Ensure referral and reporting processes align with HIPAA, federal, state, and payer regulations. * Support audits and quality improvement initiatives related to referral processes and reporting accuracy. * Provide feedback to leadership regarding workflow gaps, process challenges, and opportunities for system enhancements. * Serve as a liaison between clinical teams, payers, and external providers to promote positive patient and provider experiences. Other Duties * Assist in administrative tasks such as document preparation, database updates, and team meeting support. * Contribute to special projects and organizational initiatives as needed. SKILLS & QUALIFICATIONS * Three (+) years of healthcare administrative or referral coordination experience required. * Experience in population health, care coordination, or respiratory care preferred. * Strong understanding of healthcare referral processes, insurance authorizations, and provider network navigation. * Proficiency in EHR systems and population health platforms; experience with Salesforce or similar systems preferred. * Excellent data management and reporting skills; proficiency with Microsoft Excel, Word, and Power Point required. * Strong organizational and time-management abilities with attention to detail. * Analytical mindset with the ability to interpret data and present findings clearly. * Excellent interpersonal and communication skills to collaborate with patients, providers, and internal teams. * Ability to manage competing priorities and meet deadlines in a fast-paced healthcare environment. * Commitment to patient-centered care and organizational values in population health improvement. * Knowledge of regulatory frameworks and HIPAA-compliant data handling practices is helpful. EDUCATION, LICENSES, & CERTIFICATION * High school diploma or GED required. * Associate’s degree in healthcare administration, business administration, or related field preferred. * Additional certification in healthcare data analytics or population health management is a plus. * A combination of equivalent education and professional experience may be considered in lieu of formal education requirements. BENEFITS & TOTAL REWARDS * Paid Orientation and Training * Insurance – Medical, Dental, Vision, and Life * 401k Plan – 3% match * Employee Assistance Program * Tuition Reimbursement * Continued Education Support * Mileage Reimbursement (if applicable) * Referral Bonuses * Paid Holidays (9days) * Paid Time Off (15 days) * Paid Volunteer Hours  CHARACTER & COMPETENCIES * Courage– To have the courage to the right thing at the right time. * Ownership– To take ownership of every issue you touch. * Respect– To respect yourself, co-workers, and for those whom you care. * Excellence– To be excellent in all that you do. * Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce. * Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values. * Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. * Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. * Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. * Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions. * Problem-Solving -Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics. * Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. * Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. PHYSICAL DEMANDS & WORK ENVIRONMENT * Occasionally required to stand. * Occasionally required to walk. * Continually required to sit. * Occasionally required to climb, balance, bend, stoop, kneel, or crawl. * Continually required to talk or hear. * While performing the duties of this job, the noise level in the work environment is usually moderate. * May occasionally lift and/or move more than 30 pounds. * Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing. EQUAL EMPLOYMENT OPPORTUNITY APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Responsibilities

The Referral and Reporting Coordinator manages patient referrals and develops comprehensive reporting to track program performance. This role ensures communication between clinical teams, external providers, and patients while maintaining compliance with regulatory standards.