Referral/Care Coordinator Required Skills & Experience:
High school diploma or GED
Strong customer service and professional communication skills
Ability to multitask in a fast-paced healthcare environment
Reliable, punctual attendance
Nice to Have Skills & Experience:
Prior medical office experience (referral processing experience strongly preferred)
Experience processing referrals for HMO plans
Experience using EMR systems
Knowledge of medical coding
Bilingual in English/Spanish preferred
Job Description:
Insight Global is seeking a Referral/Care Coordinator for a top healthcare services client. This individual will support medical management and referral coordination by ensuring patients are efficiently scheduled for specialty care, authorizations are properly obtained, and all referral documentation is accurately maintained.
The ideal candidate is patient-focused, highly organized, and thrives in a fast-paced clinical environment while delivering exceptional customer service and maintaining strict compliance with HIPAA guidelines.
Day-to-Day:
Coordinate and process all patient referrals for specialty services
Obtain and manage referral authorizations per protocol
Communicate with patients regarding scheduling and referral status
Enter referral, hospital, outpatient, and DME authorizations into the system
Track outstanding referral reports and follow up as needed
Receive consultant reports and route documentation to physicians
Coordinate pre-admission testing with clinic staff and patients
Maintain compliance with company policies and HIPAA standards
