Referral Care Navigator

Cano Health; Miami (FL); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Cano Health in Miami, FL is seeking a Referral Coordinator to support care coordination by managing referrals, pre-verifications, and authorizations. You will communicate with patients, providers, and health plans to ensure timely referrals and reports, while upholding a patient-centered service approach.

The role requires knowledge of EHRs (eCW), insurance processes, and strong customer service skills within a clinical setting.

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 (eCW), and insurance authorization procedures.
• BLS certification is required; must respond appropriately in emergencies.

Responsibilities

• Process outgoing referrals promptly based on provider orders (specialty care, diagnostics, therapy).
• 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; follow up on incomplete referrals; ensure timely receipt of reports.
• Maintain documentation of all referral activities in the EHR; log status and communications.

Skills

MS Office Suite

Bilingual English/Spanish

Communication skills

Care coordination

Education

High school diploma or GED

1–2 years medical office experience

Tools

eClinicalWorks (eCW)

Availity

Cano.Net

Workday

Oracle

Job description

Cano Health in Miami, FL is seeking a Referral Coordinator to support care coordination by managing referrals, pre-verifications, and authorizations. You will communicate with patients, providers, and health plans to ensure timely referrals and reports, while upholding a patient-centered service approach.

The role requires knowledge of EHRs (eCW), insurance processes, and strong customer service skills within a clinical setting.