End-to-End Referral Coordinator (Workers’ Comp)

Boomeranghc

San Bernardino (CA)

On-site

USD 32,000 - 33,000

Full time

3 days ago
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Benefits offered by this job

Medical, Dental, Vision, Prescription
401(k) with employer match
License & Tuition Reimbursement
Paid Time Off
Holiday & Floating Holiday
Employee Perks & Discounts

Job summary

Boomerang Healthcare seeks a Referral Relations Coordinator to manage the end-to-end lifecycle of outside referrals for injured workers. You will liaison between clinics, patients, carriers, adjusters, TPAs, and external providers to ensure timely referrals and documentation transfer.

You will review authorizations, identify suitable providers near the patient, and coordinate scheduling, documentation, and follow-ups to close the loop on referrals.

Qualifications

  • Excellent verbal and written communication skills.
  • Strong ability to coordinate with multiple parties in a fast-paced environment.
  • Prior experience in a medical setting, workers' compensation and prior-authorization preferred.

Responsibilities

  • Manage end-to-end referrals between insurance carriers, TPAs, claims adjusters, patients and healthcare providers.
  • Review authorizations for specialty, body part, expiration and MPN link before scheduling.
  • Identify providers near patient location and scan results into IMS for records.
  • Call external providers to confirm workers' comp acceptance and required documentation.
  • Assemble and send full medical documentation packets to external providers ahead of appointments.
  • Coordinate with Authorization Department for amended RFAs/authorizations when data is missing.
  • Follow up to prevent delays in patient care and ensure timely authorizations.
  • Book external appointments once carrier authorization is secured and confirm with patients.

Skills

Verbal & written comms
Multitasking
Medical setting experience
Workers' comp knowledge
Bilingual English/Spanish

Job description

Boomerang Healthcare seeks a Referral Relations Coordinator to manage the end-to-end lifecycle of outside referrals for injured workers. You will liaison between clinics, patients, carriers, adjusters, TPAs, and external providers to ensure timely referrals and documentation transfer.

You will review authorizations, identify suitable providers near the patient, and coordinate scheduling, documentation, and follow-ups to close the loop on referrals.

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