Primary Care Referral Coordinator

MAXhealth; Sarasota (FL); On-site; USD 22,000 - 31,000; Full time

Job summary

MaxHealth is a busy Primary Care network seeking a Referral Specialist to manage all referrals for our patients. The role ensures insurance coverage allows access to services and supports our Primary Care Physicians in directing patients to the best network.

This position is multi‑faceted and requires organization, clear communication, professionalism, and attention to detail. Hours are 8:00am to 5:00pm, Monday through Friday.

Qualifications

• 2 years' experience as a Referral Coordinator in a Primary Care Office.
• Familiarity with value-based care and Medicare Advantage insurance.
• Bilingual English/Spanish is preferred but not required.

Responsibilities

• Coordinate timely approval of referrals and streamline referral department workflow.
• Monitor quality of care related to patient benefit plans and contracted providers.
• Collaborate across teams to improve workflow, appropriateness, and outcomes.
• Initiate direct communication with healthcare providers to obtain complete information.
• Liaise between insurance, providers, and department to ensure referrals are processed correctly for specialty visits.
• Accurately chart all information in EHR/EMR.
• Provide coverage for other areas/departments as needed.
• Take on additional responsibilities as deemed necessary.

Skills

Referral coordination

Insurance navigation

Communication

English/Spanish

Job description

Busy Primary Care practices seek Referral Specialist to manage all referrals for our patients. The Referral Specialist is responsible for ensuring that the patient's insurance allows them to access the services of the health care provider. This position supports our Primary Care Physicians to ensure we refer our patients to the best network and services needed. This position is multi-faceted and allows interaction with our Multidisciplinary team. This position requires organization as this is time sensitive daily duties that require excellent communication, professionalism, and attention to detail.

Candidates must reside in the state of Florida with remote flexibility but also willing to travel or work from office occasionally. 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 working as a Referral Coordinator in a Primary Care Office
• Familiarity with value-based care and Medicare Advantage insurance including vendor and capitation rules. (Humana Gold Plus, Careplus, WellCare, Freedom, Optimum, United Health Care Medicare, Devoted, Aetna Medicare, etc)

Responsibilities

• Utilization management activities include coordinate timely approval of referrals, coordinate efficiency of referral department, collects 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 necessar

ABOUT MAXHEALTH

MaxHealth is dedicated to simplifying healthcare and ensuring healthier futures-for our patients and our people.

Founded in 2015, MaxHealth is a leading primary care platform focused on delivering high‑quality, integrated, value‑based care to adults and senior patients throughout Florida. Today, we support more than 70,000 value‑based care patients through a growing network of more than 55 owned clinics and 30 affiliated practices across central and southern Florida.

Our success is driven by our people.

MaxHealth is home to a diverse, multidisciplinary team of more than 700 employees-including primary care providers, specialists, clinical staff, and corporate professionals-who are united by a shared purpose: to make healthcare simpler, more compassionate, and more human.

We are proud to offer a workplace that supports career growth, internal advancement, and work‑life balance, with regular weekday office hours and a strong commitment to employee well‑being.

At MaxHealth, team members are encouraged to grow their skills, pursue leadership opportunities, and build long‑term careers in an environment where their contributions truly matter.

MaxHealth also partners with like‑minded independent providers, leveraging our platform to expand access to high‑quality care while preserving the personalized relationships that define great medicine.

Our values guide everything we do:

we are customer‑centered, compassionate, results‑driven, proactive, collaborative, and adaptable. These values shape not only how we care for patients, but how we support one another as colleagues.

Our mission is simple:

to deliver quality care, a simplified experience, and happiness-one patient, and one team member, at a time

#IND123