Medical Referral Specialist

Aoloutsourcing; Manila; On-site; PHP 335,000 - 513,000; Full time

Job summary

Aoloutsourcing in Manila is seeking an experienced Referral Specialist to support our medical Referral Department. You will manage end-to-end referral processes, coordinating with providers, insurance companies, and patients to ensure timely access to care.

The role requires nursing credentials, EMR experience, and excellent English, focusing on accuracy and compliant, clear communication. You will work with a reliable setup and provide professional patient and provider support.

Qualifications

• Must be a Nurse Graduate.
• At least 2 years in referral coordination/department.
• Strong medical terminology knowledge.
• Experience with EMR/EHR systems (ECW or similar).
• Experience with insurance verification and payer communications.
• Fluent in English, spoken and written.
• Own computer, stable internet, headset and backup equipment.

Responsibilities

• Process and manage incoming and outgoing medical referrals from initiation to completion.
• Coordinate referrals between providers, specialists, and facilities.
• Verify insurance eligibility and referral requirements.
• Obtain authorizations when required.
• Follow up on pending referrals and approvals to prevent delays.
• Communicate with insurance companies, provider offices, and patients regarding referral status.
• Document referral information and outcomes in the EMR/EHR system.
• Handle inbound and outbound calls professionally.
• Respond to patient and provider inquiries related to referrals.

Skills

Referral coordination

Medical terminology

English fluency

Communication with providers/payers

Customer service calls

Education

Nurse graduate

Tools

EMR/EHR ECW

Laptop

Stable internet

Noise-canceling headset

Backup equipment

Job description

About the role

We are seeking an experienced Referral Specialist with strong medical administrative skills to support our medical Referral Department. The ideal candidate will be responsible for managing the end-to-end referral process, ensuring accurate coordination between providers, insurance companies, and patients to facilitate timely access to care.

Key responsibilities

• Process and manage incoming and outgoing medical referrals from initiation to completion
• Coordinate referrals between primary care providers, specialists, and facilities
• Verify insurance eligibility and referral requirements
• Obtain authorizations when required
• Follow up on pending referrals and approvals to prevent delays in patient care
• Communicate with insurance companies, provider offices, and patients regarding referral status
• Accurately document referral information and outcomes in the EMR/EHR system
• Handle inbound and outbound calls professionally
• Respond to patient and provider inquiries related to referrals

About you

• Must be a Nurse Graduate
• Minimum 2 years of experience in a Referral Department, Referral Coordination, or Referral Specialist role
• Strong understanding of medical terminology
• Experience working with EMR/EHR systems (e.g., ECW or similar platforms)
• Experience with insurance verification, referral, eligibility, and payer communication
• Experience handling patient and provider calls professionally
• Fluent in English, both spoken and written
• Must have own computer/laptop, stable internet connection, noise-canceling headset, and backup equipment