Referral & Care Coordination Specialist

Insight Global; Lutz (FL); On-site; USD 35,000 - 52,000; Full time

Job summary

Insight Global is seeking a Referral/Care Coordinator to support medical management and referral coordination for a healthcare services client. You will ensure timely scheduling for specialty care, obtain authorizations, and maintain referral documentation with HIPAA compliance.

The ideal candidate is patient-focused, organized, and excels in a fast-paced clinical environment, delivering strong customer service. Bilingual English/Spanish is preferred.

Qualifications

• High school diploma or GED
• Strong customer service and professional communication skills
• Ability to multitask in a fast-paced healthcare environment
• Reliable, punctual attendance
• Prior medical office experience (referral processing experience strongly preferred)
• Bilingual in English/Spanish
• Experience processing referrals for HMO plans
• Experience using EMR systems
• Knowledge of medical coding

Responsibilities

• Coordinate and process all patient referrals for specialty services
• Obtain and manage referral authorizations per protocol
• Communicate with patients regarding scheduling and referral status
• Enter referral, hospital, outpatient, and DME authorizations into the system
• Track outstanding referral reports and follow up as needed
• Receive consultant reports and route documentation to physicians
• Coordinate pre-admission testing with clinic staff and patients
• Maintain compliance with company policies and HIPAA standards

Skills

Customer service

Professional communication

Multitasking

Punctuality

Bilingual English/Spanish

HMO referrals

HIPAA compliance

Medical coding

Education

High school diploma or GED

Tools

EMR systems

Job description

Insight Global is seeking a Referral/Care Coordinator to support medical management and referral coordination for a healthcare services client. You will ensure timely scheduling for specialty care, obtain authorizations, and maintain referral documentation with HIPAA compliance.

The ideal candidate is patient-focused, organized, and excels in a fast-paced clinical environment, delivering strong customer service. Bilingual English/Spanish is preferred.