Patient-Centric Referrals Navigator

Cano Health LLC; Palm Springs (CA); On-site; USD 48,000 - 64,000; Full time

Job summary

Cano Health LLC is seeking a Referral Coordinator in Palm Springs, CA to manage insurance pre-verifications, referrals, and scheduling. You will serve as the liaison between patients, providers, and plans to ensure timely, in-network, cost-effective care.

The role emphasizes patient-centered service, accuracy in processing referrals, and collaboration with care teams to optimize outcomes within a value-based care framework.

Qualifications

• High school diploma or GED required.
• Minimum 1–2 years in medical office handling referrals.
• Working knowledge of medical terminology and insurance processes.
• Experience with scheduling systems, EHRs (eCW) and insurance authorization procedures.
• BLS certification required; must respond appropriately in emergencies.

Responsibilities

• Referral Management & Coordination: Process and document referrals, input authorizations, and schedule appointments with specialists.
• Patient Communication & Navigation: Educate patients on referrals, assist with barriers, and relay appointment details.
• Insurance & Authorization Processing: Verify eligibility and obtain prior authorizations; address denials or appeals.
• Value-Based Care Alignment: Support quality metrics and guide patients to in-network providers.
• Administrative Support & Documentation: Maintain EHR records and generate referral-related documents.
• Care Team Collaboration: Work with clinicians; share real-time referral updates in team huddles.
• Compliance & Data Privacy: Uphold HIPAA and secure patient data sharing.
• Clinic Support & Environment: Provide clerical help and manage lobby/ppe protocols.

Skills

Customer service

Communication

Bilingual English/Spanish

Education

High school diploma or GED

BLS certification

Tools

eClinicalWorks

Availity

Cano.Net

Workday

Oracle

Job description

Cano Health LLC is seeking a Referral Coordinator in Palm Springs, CA to manage insurance pre-verifications, referrals, and scheduling. You will serve as the liaison between patients, providers, and plans to ensure timely, in-network, cost-effective care.

The role emphasizes patient-centered service, accuracy in processing referrals, and collaboration with care teams to optimize outcomes within a value-based care framework.