Patient-Centered Referral Intake Specialist

Community Medical Group; Miami (FL); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

17 days of paid time off

11 paid holidays and one floating holi

Medical, dental, and vision coverage

401(k) retirement plan with company 1:

Company-paid life insurance

Opportunities for professional growth

Job summary

Community Medical Group is seeking a detail-oriented Referral Intake Coordinator to join the Referral Management team in Miami, FL. You will serve as a key contact for patients and provider offices, ensuring referrals are received, documented, and processed accurately to support timely access to care.

The role requires 2+ years of referral processing experience, knowledge of CPT/HCPCS/ICD coding, and proficiency with EMR systems (preferably eCW) and MS Office.

Qualifications

• High school diploma or equivalent required.
• Minimum of two (2) years of referral processing experience in a primary care, managed care, or value-based care setting.
• Knowledge of medical terminology, CPT, HCPCS, and ICD coding.
• Experience working with Electronic Medical Records (EMR), preferably eClinicalWorks (eCW).
• Understanding of referral workflows, authorization requirements, insurance plans, and payer portals.
• Proficiency with Microsoft Office applications, including Excel and Outlook.
• Strong verbal and written communication skills.
• Excellent attention to detail, organizational skills, and ability to manage multiple priorities.
• Strong problem-solving and critical-thinking abilities.
• Ability to work independently and collaboratively in a fast-paced environment.
• Bilingual in English and Spanish or English and Creole preferred.

Responsibilities

• Answer and manage high-volume inbound referral calls from provider offices, patients, caregivers, and internal departments.
• Provide professional guidance regarding referral status, required documentation, authorization requirements, and next steps.
• Deliver an exceptional patient experience through effective communication and customer service.
• Process urgent and STAT referrals to support timely patient access to care.
• Validate referral completeness, including provider information, diagnosis codes, authorizations, and supporting clinical documentation.
• Accurately enter and maintain referral information within the electronic medical record system.
• Communicate with provider offices to obtain missing documentation and resolve referral discrepancies.
• Escalate urgent or high-priority referrals in accordance with established protocols.
• Document all calls, actions taken, and follow-up activities accurately and timely.
• Meet productivity, quality, accuracy, and turnaround-time standards.
• Maintain compliance with HIPAA, payer guidelines, and company policies and procedures.
• Utilize referral management tools, payer portals, and electronic medical records to support daily operations.
• Perform additional duties as assigned.

Skills

Communication skills

Verbal and written communication

Attention to detail

Organizational skills

Multitasking

Problem-solving

Independence and collaboration

Bilingual in English and Spanish/Creol

Education

High school diploma or equivalent

Tools

eClinicalWorks (eCW)

Microsoft Excel

Microsoft Outlook

Job description

Community Medical Group is seeking a detail-oriented Referral Intake Coordinator to join the Referral Management team in Miami, FL. You will serve as a key contact for patients and provider offices, ensuring referrals are received, documented, and processed accurately to support timely access to care.

The role requires 2+ years of referral processing experience, knowledge of CPT/HCPCS/ICD coding, and proficiency with EMR systems (preferably eCW) and MS Office.