Referral/Care Coordinator- Palmetto

Insight Global (United States); Florida; On-site; USD 42,000 - 60,000; Full time

Job summary

Insight Global is seeking a Referral/Care Coordinator for a top healthcare services client. This role supports medical management and referral coordination by ensuring patients are efficiently scheduled for specialty care, authorizations are obtained promptly, and referral documentation is accurate.

The ideal candidate is patient-focused, highly organized, and thrives in a fast-paced clinical environment while delivering exceptional customer service and maintaining strict compliance with HIPAA

Qualifications

• Minimum high school diploma or GED.
• Strong customer service and professional communication.
• Ability to multitask in fast-paced healthcare environment.
• Reliable, punctual attendance.
• Prior medical office experience preferred (referral processing).
• 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

Communication skills

Multitasking

Punctual attendance

Medical office experience

Education

High school diploma or GED

Tools

EMR systems

Medical coding

Job description

Job Description

Insight Global is seeking a Referral/Care Coordinator for a top healthcare services client. This role supports medical management and referral coordination by ensuring patients are efficiently scheduled for specialty care, authorizations are obtained promptly, and referral documentation is accurate.

The ideal candidate is patient-focused, highly organized, and thrives in a fast-paced clinical environment while delivering exceptional customer service and maintaining strict compliance with HIPAA guidelines.

Day-to-Day:

• 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 and Requirements

• 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)
• Experience processing referrals for HMO plans
• Experience using EMR systems
• Knowledge of medical coding

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [e-mail].