Patient Referral Navigator

Cano Health; Miami (FL); On-site; USD 42,000 - 56,000; Full time

Job summary

Cano Health is seeking a Referral Coordinator to support patient care coordination by managing insurance pre-verifications, referrals, and scheduling. You will liaise between patients, providers, and health plans to ensure timely referrals and accurate authorizations.

The role emphasizes patient-centered service, collaboration with care teams, and adherence to HIPAA. Previous experience with EHRs and payer portals is preferred.

Qualifications

• High school diploma or GED required.
• 1–2 years of experience in a medical office handling referrals.
• Working knowledge of medical terminology and insurance processes.
• Experience with scheduling systems and EHRs (eCW) and insurance authorizations.
• BLS certification required; able to respond in emergencies.

Responsibilities

• Process outgoing referrals promptly based on provider orders.
• Review, validate, and document referral orders in data systems.
• Schedule appointments with specialists, prioritizing in-network options.
• Track referral status and follow up on incomplete referrals.
• Close the referral loop with reports and documentation to the provider.
• Educate patients on referral process, requirements, and expectations.
• Assist patients with barriers (transport, language, scheduling).
• Verify insurance eligibility and authorization requirements.
• Obtain prior authorizations and respond to denials or appeals.

Skills

Customer service

Organizational skills

Time management

Bilingual English/Spanish

Microsoft Office

Education

High school diploma or GED

Tools

eClinicalWorks (eCW)

Availity

Cano.Net

Workday

Oracle

Job description

Cano Health is seeking a Referral Coordinator to support patient care coordination by managing insurance pre-verifications, referrals, and scheduling. You will liaise between patients, providers, and health plans to ensure timely referrals and accurate authorizations.

The role emphasizes patient-centered service, collaboration with care teams, and adherence to HIPAA. Previous experience with EHRs and payer portals is preferred.