Referral Care Navigator

Cano Health; Florida; On-site; USD 36,000 - 48,000; Full time

Job summary

Cano Health is seeking a Referral Coordinator to support patient care coordination by handling insurance pre-verifications, referrals, and appointment scheduling. You will act as a liaison among clinics, specialists, and health plans, ensuring timely and accurate referrals with patient-centered service.

You will educate patients, navigate barriers, and work with multiple systems (eCW, Availity, Cano.Net, Workday) while upholding HIPAA guidelines.

Qualifications

• High school diploma or GED required.
• 1–2 years of experience in a medical office, hospital, or clinical setting handling referrals.
• Working knowledge of medical terminology and insurance processes.
• Experience with scheduling systems, EHRs (e.g., eClinicalWorks), and insurance authorization procedures.
• BLS certification required; must be able to respond appropriately in emergencies.
• Proficient in Microsoft Office Suite (Excel, Word, Teams, PowerPoint).
• Familiarity with insurance portals, including Medicaid, Medicare, and commercial payers.
• Bilingual in English and Spanish preferred.

Responsibilities

• Process outgoing referrals promptly based on provider orders.
• Review, validate, and document referral orders; input referrals and authorizations into data systems.
• Schedule appointments with specialists or service providers, prioritizing in-network options.
• Track referral status and ensure timely receipt of consultation reports.
• Educate patients on the referral process, insurance requirements, and expectations.
• Assist patients in overcoming barriers (transportation, language, scheduling).
• Verify insurance eligibility and determine referral and authorization requirements.
• Obtain prior authorizations and approvals from health plans as needed.
• Collaborate with payers and specialists to expedite authorizations and respond to denials.

Skills

Customer service

Bilingual English/Spanish

Organization

Time management

Communication

Microsoft Office

Education

High school diploma or GED

BLS certification

Tools

eClinicalWorks

Availity

Cano.Net

Workday

Oracle

Health plan portals

Job description

Cano Health is seeking a Referral Coordinator to support patient care coordination by handling insurance pre-verifications, referrals, and appointment scheduling. You will act as a liaison among clinics, specialists, and health plans, ensuring timely and accurate referrals with patient-centered service.

You will educate patients, navigate barriers, and work with multiple systems (eCW, Availity, Cano.Net, Workday) while upholding HIPAA guidelines.