Bilingual Virtual Referral & Prior Authorization Coordinator - 49872062821

Staffing For Doctors; Philippines; À distance; PHP 2 689 000 - 4 225 000; Plein temps

Résumé du poste

Staffing For Doctors is seeking an experienced Virtual Referral & Prior Authorization Coordinator for a US-based primary care and family medicine practice. You will own referrals and prior authorizations in eClinicalWorks (eCW), ensuring accuracy and timely processing.

As you grow in the role, responsibilities may expand to scheduling, phone management, and front-desk support, with a Monday–Friday 8:00 AM–5:00 PM CST schedule. Strong HIPAA knowledge and US healthcare experience are required.

Qualifications

• Recent, hands-on experience with eClinicalWorks (eCW) in a US-based medical practice.
• Proven experience managing full-cycle referrals and insurance prior authorizations.
• Fully bilingual in English and Spanish with professional spoken English.
• Direct experience working with US medical practices, preferably Primary Care or Family Medicine.
• Willingness to expand into phone management, scheduling, and front-desk duties.
• Solid understanding of medical terminology, insurance communications, and HIPAA.

Responsabilités

• Referral Coordination: prepare/submit referrals in eCW, verify details, attach docs, follow up, track to completion.
• Prior Authorizations: verify requirements, submit through payor portals, gather records, track deadlines, escalate denials.
• Administrative & Reception Support: handle calls via Weave, schedule appointments, register patients, verify coverage.

Connaissances

Referral coordination

Prior authorizations

Bilingual in English/Spanish

US healthcare experience

Adaptability

HIPAA compliance

Outils

eClinicalWorks (eCW)

Weave

Description du poste

We are seeking an experienced Virtual Referral & Prior Authorization Coordinator to join a growing Primary Care and Family Medicine practice in the US.

This role requires recent, hands-on experience using eClinicalWorks (eCW) to seamlessly integrate into established workflows. You will take full ownership of processing patient referrals and insurance prior authorizations from start to finish. As you become proficient in these core responsibilities, the role will expand to include patient scheduling, phone management, and general administrative front-desk support.

Work Schedule: Monday through Friday, 8:00 AM - 5:00 PM CST.

RESPONSIBILITIES

• Referral Coordination (Primary): Prepare and submit referrals in eClinicalWorks (eCW), verify patient and insurance details, attach necessary clinical documentation, follow up with specialist offices, and track each referral to completion.
• Prior Authorizations (Primary): Verify authorization requirements, submit requests through insurance payor portals, gather supporting clinical records, track deadlines, escalate claim denials, and keep providers and patients informed.
• Administrative & Reception Support (Secondary): Handle inbound and outbound calls via Weave, schedule patient appointments, process intake and registration, update demographics, verify insurance coverage, and manage follow-up messages.

Requirements

• eClinicalWorks (eCW): Recent, hands-on experience using eCW in a US-based medical practice (mandatory).
• Referrals & Prior Auths: Proven experience managing full-cycle referrals and insurance prior authorizations independently.
• Bilingual Skills: Fully bilingual in English and Spanish with clear, professional spoken English.
• US Healthcare Experience: Direct experience working with US medical practices, ideally in Primary Care or Family Medicine.
• Adaptability: Willingness to expand responsibilities into phone management, patient scheduling, and front-desk reception duties.
• Compliance: Solid understanding of medical terminology, insurance communication, and strict HIPAA guidelines.

NICE TO HAVES

• Experience using Weave VoIP phone systems.
• High-volume referral and prior authorization handling.
• Background in insurance benefits verification and front-desk patient reception.