Remote Clinical Referral Coordinator - US Hours Overlap

Pearl; Philippines; Remote; MXN 969,000 - 1,453,000; Full time

Benefits offered by this job

Remote work

Health coverage and PTO

Mentorship and professional growth

Global networking

Job summary

Pearl Talent is hiring a Clinical Referral Coordinator to review referrals, read clinical notes and imaging, and decide on acceptance, information needed, or denial. You will contact patients to schedule approved appointments and gather missing details. A co-founder reviews decisions during ramp-up.

Success means qualifying 50–60% of straightforward referrals by day 30 and handling the full queue by day 90, with ongoing learning as practices onboard.

Qualifications

• 2+ years in a healthcare operations role with clinical document review in scope (referral coordination, prior authorization, utilization review, or medical records review)
• Hands-on review of multi-page clinical documents, including physician notes, specialist assessments, and MRI or imaging reports
• Experience applying clinical or practice-specific criteria to accept, deny, or request more information on referrals or authorizations
• Working knowledge of medical terminology, including distinguishing imaging reports vs orders
• Outbound patient call experience for appointment scheduling or collecting missing information
• Experience supporting US-based healthcare providers, practices, or health systems
• English at C1+ (CEFR) for live, unscripted calls with US patients

Responsibilities

• Review incoming neurology referrals and decide to accept, request more information, or deny based on practice-specific rules
• Read multi-page clinical documents to find details that change a decision
• Confirm all required documents are present before a referral moves to scheduling
• Record the rationale for every decision in the internal comments field
• Call patients to schedule appointments and collect missing information
• Log call outcomes and follow-ups in the referral system
• Escalate unclear referrals before making a decision
• Learn and apply new qualification rules as practices onboard

Skills

Healthcare operations

Clinical document review

Medical terminology

US healthcare experience

English proficiency

Tools

AthenaHealth EHR

Epic/eClinicalWorks

Job description

Pearl Talent is hiring a Clinical Referral Coordinator to review referrals, read clinical notes and imaging, and decide on acceptance, information needed, or denial. You will contact patients to schedule approved appointments and gather missing details. A co-founder reviews decisions during ramp-up.

Success means qualifying 50–60% of straightforward referrals by day 30 and handling the full queue by day 90, with ongoing learning as practices onboard.