Medical Referral Specialist

AOL Outsourcing; Philippines; Remote; PHP 334,800 - 446,400; Full time

Job summary

AOL Outsourcing in the Philippines is looking for a Medical Referral Specialist to manage incoming and outgoing medical referrals. The ideal candidate must be a Nurse Graduate with at least two years of relevant experience in referral coordination or a medical administrative role. Strong understanding of medical terminology and proficiency in EMR/EHR systems are essential. The role requires effective communication with insurance companies, providers, and patients. Immediate availability and necessary equipment are required.

Qualifications

• Must have a nursing degree.
• Minimum 2 years experience in medical administration or referral coordination.
• Strong understanding of medical terminology.

Responsibilities

• Process medical referrals from initiation to completion.
• Coordinate with primary care providers and specialists.
• Verify insurance eligibility and obtain authorizations.

Skills

Medical terminology

Patient communication

Referral coordination

Insurance verification

EMR/EHR systems

Education

Nurse Graduate

Tools

EMR/EHR systems (e.g., ECW)

Job description

We Are Hiring: Medical Referral Specialist

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 for referred services
• 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

Requirements

• Must be a Nurse Graduate
• Minimum 2 years of experience in a Referral Department, Referral Coordination, or similar medical administrative 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
• Available to start immediately
• Must have own computer/laptop, stable internet connection, noise-canceling headset, and backup equipment
• Confident in handling inbound and outbound calls