Primary Care Referral & Authorization Coordinator

SFP Health Group; Kissimmee (FL); On-site; USD 42,000 - 56,000; Full time

Job summary

SFP Health Group in Florida seeks a Referral Coordinator for Primary Care to manage patient referrals, coordinate with providers, patients, and payers, and ensure timely processing within network requirements.

The role requires strong knowledge of insurance verification, prior authorizations, experience with Medicare/Medicaid lines, and proficiency in Excel and EMR systems; CMA preferred and 2+ years in a primary care setting.

Qualifications

• High School Diploma or equivalent required.
• Certified Medical Assistant (CMA) preferred.
• Minimum 2 years of experience as a Referral Coordinator or similar role in primary care.
• Experience working with Medicare, Medicaid, Managed Care, Commercial, and Workers’ Compensation.

Responsibilities

• Referral Processing & Tracking: receive, review, process, and track all incoming referral requests to specialists and diagnostic services.
• Schedule patient appointments with specialists and confirm receipt of referrals.
• Follow up with patients and providers to ensure timely delivery of care.
• Maintain updated records of patient referrals, statuses, and outcomes in the EMR and referral tracking systems.
• Create and maintain the SFP Health Group Preferred Provider Network list.

Skills

Insurance verification

Authorization processes

Patient communication

HIPAA compliance

Multitasking

Education

High School Diploma

Certified Medical Assistant (CMA) preferred

Tools

Excel

Availity

Athena EMR

Job description

SFP Health Group in Florida seeks a Referral Coordinator for Primary Care to manage patient referrals, coordinate with providers, patients, and payers, and ensure timely processing within network requirements.

The role requires strong knowledge of insurance verification, prior authorizations, experience with Medicare/Medicaid lines, and proficiency in Excel and EMR systems; CMA preferred and 2+ years in a primary care setting.