Primary Care Referral Coordinator

MAXhealth; Sarasota (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A multi-specialty healthcare provider is seeking a Referral Coordinator responsible for managing patient referrals and ensuring insurance authorization. This role requires strong communication skills, attention to detail, and remote work flexibility. Candidates should have prior experience in a medical setting, particularly as a Referral Coordinator, and must reside in Florida. Competitive pay starting at $19/hour.

Qualifications

• Candidates must reside in Florida with remote flexibility.
• 2 years' experience in a medical practice, preferably as a Medical Assistant or similar role.
• 1 year experience as a Referral Coordinator.

Responsibilities

• Coordinate timely approval of referrals and manage efficiency in the referral department.
• Monitor quality of care according to patients' benefit plans.
• Communicate with healthcare providers to obtain accurate information.
• Ensure referrals have been processed correctly for medical specialty visits.
• Accurately chart all information in EHR/EMR.

Skills

Communication

Organization

Attention to detail

Bilingual English/Spanish

Job description

Overview

Busy Multi-Specialty practices seeks Referral Coordinator. The Referral Coordinator is responsible for ensuring that the patient's insurance allows them to access the services of the health care provider. This position requires organization as this is time sensitive daily duties that require excellent communication, professionalism, and attention to detail. If you have the qualifications and looking to work from home, apply and we will contact you immediately if you qualify!

Qualifications

Candidates must reside in the state of Florida with remote flexibility. Pay on average starts at $19/hour with flexibility based on qualifications and experience. Bilingual English/Spanish candidates preferred—but not required. Hours- 8:00am to 5:00pm Monday through Friday.

Preferred Qualifications

• 2 years' experience in a medical practice- specifically Primary Care office- Medical Assistant, Licensed Practical Nurse (LPN), Front Desk Specialist.
• 1 year experience as a Referral Coordinator

Responsibilities

• Utilization management activities to include coordinate timely approval of referrals, coordinate efficiency of referral department, collect medical information in order to determine appropriate use of services.
• Monitoring quality of care that correlates with patients benefit plan and appropriate contracted providers.
• Assists in strategies that will improve workflow, appropriateness, and quality outcomes of care by working across teams to accomplish goals.
• Initiate direct communication with health care providers to obtain complete and accurate information.
• Acting as a liaison between insurance, healthcare providers, and the department to ensure required referrals have been processed correctly for medical specialty visits.
• Accurately chart all information in EHR/EMR.
• Provide coverage for other areas/departments as needed.
• Additional responsibilities as deemed necessary.

About MaxHealth

MaxHealth is dedicated to simplifying healthcare and ensuring healthier futures. Founded in 2015, MaxHealth is a leading primary care platform focused on providing high-quality, integrated care to adults and senior patients throughout Florida. We provide care for more than 120,000 patients, most of which are beneficiaries of government-sponsored healthcare programs like Medicare, or of health plans purchased on the Affordable Care Act exchange marketplace. MaxHealth is a rapidly growing medical practice with more than 50 clinics spread across central and southern Florida. MaxHealth also partners with independent providers who are like-minded and utilizes its platform to help them provide high-quality care. We are customer-centered; compassionate; results-driven; proactive; collaborative; and adaptable in executing our vision to help patients live their best lives. Our mission is to deliver quality care, a simplified experience, and happiness. One patient at a time.