Senior-focused primary care clinic seeking a qualified and dedicated Referral Coordinator to join our team. Applicants who are also Medical Assistants will receive special consideration.

To succeed in this role, you must possess in-depth knowledge of processing referral authorizations for various Medicare Advantage health insurance plans (including Humana, CarePlus, Devoted, Freedom, and Optimum). The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with patients, other healthcare providers, and various insurance companies will form a large part of the job.

Responsibilities:

• Prepare and submit referral authorizations to insurance companies.
• Ensure the patient’s medical information is accurate and up to date.
• Review referrals and pre-authorizations are valid.
• Schedule specialist appointments and imaging appointments for patients once referrals are approved.
• Follow-up on results of the specialist appointments and imaging to ensure it has been completed.
• A minimum of 1 years’ experience processing referral authorizations in a primary care setting.
• eClinicalworks experience is a plus.
• Experience as a Medical Assistant is a plus.
• Must have the ability to multitask, manage time effectively and attention to detail.
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday
• No weekends

Experience:

• Medical billing: 1 year (Preferred)
• Insurance verification: 1 year (Required)
• Referrals: 1 year (Required)
• processing referrals for Medicare Advantage HMO patients: 3 years (Required)

Work Location: In person