Healthcare Referral & Authorization Specialist

The Orthopaedic Institute; Florida; On-site; USD 36,000 - 48,000; Full time

Job summary

The Orthopaedic Institute in Florida is seeking a Referral Coordinator to streamline referrals, coordinate authorizations, and ensure all required documentation is completed accurately.

You will work with providers, clinical staff, and outside offices to facilitate scheduling and communicate referral status to patients with empathy and clarity.

This role requires strong organizational skills and a solid understanding of medical insurance processes. Experience with prior authorizations is a plus.

Qualifications

• Prior healthcare, referrals, or authorizations experience preferred but not required.
• Previous customer service experience is helpful.
• Ability to read and interpret medical documentation and insurance guidelines.

Responsibilities

• Receive, review, and process incoming referrals from physicians, hospitals, and other healthcare providers.
• Verify patient insurance benefits and obtain prior authorizations as required for specialist visits, imaging, or procedures.
• Ensure all referral documentation is complete and routed to the appropriate provider or department.
• Communicate with patients regarding referral status, required information, and scheduling next steps.
• Coordinate with clinical teams to ensure referrals and authorizations are completed before the patient’s appointment.
• Follow up with insurance companies, outside offices, and patients to resolve delays or missing information.
• Maintain accurate logs, tracking systems, and documentation per TOI policies and payer requirements.
• Provide excellent customer service by actively listening, showing empathy, and offering solutions.
• Assist with office and clerical tasks as needed and support other staff within the department.

Skills

Insurance authorizations

Referrals processing

Medical terminology

Medical insurance guidelines

Communication

Organizational skills

Basic computer skills

Multitasking

Education

High School diploma

Tools

Referral software

Practice management software

Job description

The Orthopaedic Institute in Florida is seeking a Referral Coordinator to streamline referrals, coordinate authorizations, and ensure all required documentation is completed accurately.

You will work with providers, clinical staff, and outside offices to facilitate scheduling and communicate referral status to patients with empathy and clarity.

This role requires strong organizational skills and a solid understanding of medical insurance processes. Experience with prior authorizations is a plus.