Referral Coordinator

InnovaCare Health; Orlando (FL); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Referral Coordinator to join their dynamic team. This role involves performing essential administrative duties such as referral processing, patient registration, and insurance authorizations. The ideal candidate will have strong customer service skills, effective communication abilities, and a solid understanding of medical terminology. With a commitment to promoting work-life balance and supporting employee goals, this company offers a fulfilling work environment where you can make a meaningful impact in the lives of patients. If you are passionate about healthcare and eager to contribute to a mission-driven organization, this opportunity is perfect for you.

Qualifications

• Strong customer service and communication skills are essential.
• Knowledge of ICD-10 and CPT coding is preferred.

Responsibilities

• Perform administrative duties including referral processing and patient registration.
• Ensure accurate patient registration and manage referrals efficiently.

Skills

Customer Service Skills

Effective Communication Skills

Organizational Skills

Knowledge of Medical Terminology

Teamwork Orientation

Basic Math Skills

Education

High School Diploma or GED

Tools

Electronic Health Records (EHR)

Job description

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InnovaCare Management Services Company, LLC

InnovaCare Health is a dynamic physician-led healthcare provider pioneering change in value-based healthcare. We operate 40+ clinics with 1,100+ employees who share our mission, vision, and values. Our goal isn’t just healthcare; it’s about promoting work-life balance and supporting the personal and professional goals of each employee.

We are committed to diversity and inclusion, making an impact through public health education, outreach, and philanthropy beyond our facilities.

As we grow, we seek employees who value improving the lives of those they care for. #WeAreInnovaCare

Job Summary

Performs administrative duties including referral processing, patient registration, benefits verification, insurance authorizations, appointment scheduling, communication with referral sources, and other tasks.

Essential Job Functions

1. Maintains tracking and documentation on referrals, using an EMR database if applicable.
2. Ensures complete and accurate patient registration.
3. Gathers clinical background and referral needs; provides appropriate information to specialists.
4. Contacts insurance companies for prior approvals, providing necessary medical information.
5. Reviews referral details with patients.
6. Assists patients with issues related to healthcare, finances, or social barriers.
7. Acts as a system navigator and point of contact for patients and authorized individuals.
8. May advocate on behalf of patients to ensure timely approval of services.
9. Utilizes community resources and maintains relationships with service providers.
10. Processes referrals promptly, aiming for completion within 90 days.
11. Reminds patients of appointments via mail, phone, or text.
12. Handles requests for medical records release and maintains logs.
13. Performs other duties as assigned.

Minimum Requirements

• High school diploma or GED.
• Strong customer service skills.
• Effective communication skills.
• Teamwork orientation.
• Organizational skills and ability to manage priorities.
• Knowledge of medical terminology, ICD-10, and CPT coding.
• Proficiency in electronic health records.
• Ability to remain calm in emergencies.
• Basic math skills.
• Understanding of safe work practices.
• Ability to follow through on delegated tasks.

Preferred Qualifications

• At least 5 years in a medical customer service role.
• Bilingual in English/Spanish preferred.

Physical & Mental Requirements

• Required immunizations.
• Ability to lift up to 50 pounds.
• Ability to push or pull up to 100 pounds.
• Ability to stand or sit for long periods.
• Fine motor skills for operating equipment.
• Ability to drive and operate a vehicle.
• Ability to understand instructions and solve problems logically.
• Occasional exposure to communicable diseases or bodily fluids.
• Occasional travel for clinic activities.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industry: Hospitals and Healthcare