Referral/Care Coordinator- Atlantic

Required Skills & Experience

• 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

Nice to Have Skills & Experience

• Experience processing referrals for HMO plans
• Experience using EMR systems
• Knowledge of medical coding
• Bilingual in English/Spanish

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