NEW JOB OPENING
HEALTHCARE REFERRAL COORDINATOR - PATIENT CARE & INSURANCE
IN Remote, USA!

Required Education:

• High school or equivalent



Required Qualifications:

• Knowledge of basic medical terminology.

• 1-2 years of referral management experience.

• 1-2 years of medical insurance experience.

• 3-5 years of customer service experience.

• Bilingual communication skills preferred.



Preferred Qualifications:

• Bilingual language skills.

• Direct referral management experience within a healthcare setting.

• Experience working with health insurance plans, benefit verification, and authorization processes.

• Previous experience in a remote work environment.

• Experience with electronic medical records (EMR/EHR) systems.

• Strong problem-solving skills and the ability to manage multiple priorities with minimal supervision.



Overview:

• The candidate will join a team of approximately 30-32 professionals, including Referral Coordinators, Licensed Vocational Nurses (LVNs), and Medical Assistants (MAs).

• All team members work remotely. While the team is organized into smaller functional groups, there is a strong culture of collaboration, support, and teamwork across the department.

• The RMC Patient Care Call Coordinator plays a critical role in supporting referral management operations by ensuring referrals are processed accurately, efficiently, and within established timelines.

• This position helps facilitate patient access to care by coordinating referrals, obtaining authorizations, and providing exceptional customer service to patients, providers, and internal stakeholders.



Responsibilities:

• Managing internal and external referrals, including daily referral reconciliation activities.

• Gathering, reviewing, and processing required referral documentation while ensuring compliance with established turnaround times.

• Answering incoming telephone calls and assisting callers with scheduling, referral inquiries, and other support needs through the phone queue system.

• Delivering exceptional customer service by managing the referral process professionally, accurately, and efficiently.

• Obtaining, updating, and tracking prior authorizations and referral authorizations for internal and external providers.

• Collaborating with providers, patients, and internal departments to resolve referral-related issues.

• Monitoring referral status and ensuring timely follow-up on outstanding requests.

• Maintaining accurate documentation and records within applicable systems.

• Working independently while effectively managing workload and priorities.

• Maintaining a positive and professional demeanor when interacting with internal and external customers.

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**