Outgoing Referrals Coordinator

CF Solutions Philippines Inc.; Quezon City; Vor Ort; PHP 240.000 - 420.000; Vollzeit

Zusammenfassung

CF Solutions Philippines Inc. is seeking a Referrals Out Coordinator to manage patient referrals to external specialists and networks. You will liaise with patients, providers, insurers, and networks to ensure timely processing of referrals and authorizations.

The role requires coordinating documents, verifying eligibility, and scheduling appointments while ensuring compliance with HIPAA and payer guidelines. Strong organization and communication skills are essential.

Qualifikationen

• Bachelor's degree in healthcare-related field preferred.
• 1–2 years of experience in medical office, clinic, hospital, or healthcare setting.
• Experience in referral coordination, insurance verification, medical scheduling, or prior authorization preferred.
• Strong knowledge of medical terminology and HIPAA regulations.
• Experience with EMR/EHR systems and Microsoft Office Suite.

Aufgaben

• Review and process outgoing referral orders submitted by healthcare providers.
• Gather and verify required clinical documentation including orders, chart notes, and records.
• Ensure referral requests are complete and accurate before submission.
• Verify patient insurance eligibility and benefits.
• Confirm network participation and identify in-network provider options.
• Ensure referrals comply with payer guidelines and requirements.
• Compile and submit clinical documentation to the Prior Authorization team.
• Monitor authorization status and follow up to support timely approvals.
• Send referral packets and documentation to external providers and facilities.
• Coordinate and schedule specialist appointments for patients.

Kenntnisse

Attention to detail

Communication skills

Organizational skills

Verbal communication

Written communication

Ausbildung

Bachelor's degree in healthcare-related field

Tools

EMR/EHR systems

Microsoft Office

Jobbeschreibung

CF Solutions Philippines Inc. is seeking a Referrals Out Coordinator to manage patient referrals to external specialists and networks. You will liaise with patients, providers, insurers, and networks to ensure timely processing of referrals and authorizations.

The role requires coordinating documents, verifying eligibility, and scheduling appointments while ensuring compliance with HIPAA and payer guidelines. Strong organization and communication skills are essential.