Coordinator, Referrals
On-site · Brandon, Florida, United States
Job Summary
Referral Coordinator responsible for managing referrals and authorizations, scheduling appointments with in-network providers, and following up to ensure timely completion. Serves as a liaison among clinics, specialists, patients, and insurance carriers, educates patients on referral processes and insurance requirements, and maintains accurate referral documentation in the EHR. Supports value-based care measures (HEDIS, STAR, QI) and collaborates with the care team to ensure access, patient-centered service, and compliant data handling under HIPAA. Requires strong communication, organization, and knowledge of medical terminology and insurance processes; experience with scheduling systems and EHRs (eClinicalWorks) and BLS certification are required.
Required Qualifications
- High school diploma or GED
- Minimum of 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
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