Referral/Care Coordinator- Parkway

Insight Global; Sarasota (FL); On-site; USD 28,000 - 39,000; 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 properly, and referral documentation is accurately maintained.

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

Qualifications

• High school diploma or GED required.
• Prior medical office experience, referral processing preferred.
• Experience with EMR systems and medical coding knowledge.
• Strong customer service and communication skills.
• Ability to multitask in a fast-paced healthcare environment.
• HIPAA compliance and patient privacy familiarity.

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 authorizations into the system for referrals, hospital, outpatient, and DME.
• Track referral reports and follow up as needed.
• Review consultant reports and route documentation to physicians.
• Coordinate pre-admission testing with clinic staff and patients.
• Maintain HIPAA compliance and company policies.

Skills

Medical office experience

Customer service

HIPAA knowledge

EMR systems

Referral processing

Education

High school diploma or GED

Tools

EMR software

Referral management software

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 properly, and referral documentation is accurately maintained.

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
• Prior medical office experience (referral processing experience strongly preferred)
• Strong customer service and professional communication skills
• Ability to multitask in a fast-paced healthcare environment
• Reliable, punctual attendance
• 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].