Referral Coordinator/Receptionist

Referral Coordinator/Receptionist Common Health Hollywood, FL Job Details Full-time From $20 an hour 23 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Spanish Customer communication Electronic health records (EHR) management Medical insurance coverage verification English Administrative experience High school diploma or GED Computer skills Full Job Description Common Healthcare Position Summary Common Healthcare is seeking a highly organized, bilingual Referral Coordinator to manage patient referrals, specialist appointments, authorizations, and care coordination activities across multiple primary care clinics. This role serves as a critical link between patients, providers, specialists, hospitals, and insurance companies to ensure timely access to care and a seamless patient experience. The ideal candidate has strong knowledge of insurance authorization processes, excellent communication skills, and the ability to manage a high-volume referral workload while maintaining accuracy and exceptional customer service. Essential ResponsibilitiesReferral Management Process incoming and outgoing referrals from primary care providers Coordinate appointments with specialists, diagnostic facilities, hospitals, and ancillary providers Ensure referrals are submitted accurately and timely Track referral status from initiation through completion Monitor referral queues and worklists daily Prior Authorizations Obtain insurance authorizations for specialist visits, procedures, imaging, and diagnostic testing Verify insurance eligibility and benefits as required Follow up with insurance carriers regarding pending authorizations Maintain accurate records of approvals, denials, and authorization numbers Assist providers with documentation required for authorization approvals Patient Care Coordination Communicate referral and appointment information to patients Educate patients on referral requirements and next steps Follow up with patients regarding incomplete referrals or missing documentation Coordinate care transitions between providers and facilities Assist in reducing barriers to patient access and treatment compliance Specialist & Provider Relations Build and maintain relationships with specialist offices and healthcare facilities Coordinate appointment scheduling and medical record transmission Ensure specialist reports are received and routed to providers Assist in closing referral loops and obtaining consultation notes Documentation & Compliance Maintain accurate referral records within the EMR Ensure HIPAA compliance and patient confidentiality Document referral status updates and patient communications Support quality initiatives and regulatory requirements Key Performance Indicators (KPIs)Referral Processing Process new referrals within 24 hours of provider order Maintain referral completion rate of 95% or greater Maintain referral documentation accuracy of 98% or greater Ensure all referral requests are entered into tracking systems the same business day Authorization Performance Submit authorization requests within 48 hours of receipt Maintain authorization approval turnaround times within payer standards Achieve less than 5% preventable authorization denials Follow up on pending authorizations within established timelines Patient Experience Return patient calls within one business day Maintain patient satisfaction scores of 90% or greater Receive fewer than 3 substantiated patient complaints per quarter Referral Closure Obtain specialist consultation reports for 90% or more of completed referrals Close referral loops within 30 days of specialist appointments whenever possible Support care gap closure and quality initiatives through effective referral management Productivity Manage referral volume targets established by leadership Maintain referral worklists with less than 5% aged referrals beyond established standards Complete all documentation and status updates within one business day QualificationsRequired Bilingual English and Spanish High school diploma or GED Minimum two years of healthcare administrative experience Experience with referrals, authorizations, scheduling, or care coordination Strong knowledge of insurance verification and authorization processes Strong computer and EMR skills Excellent communication and customer service skills Preferred Primary care experience Medicare Advantage experience Experience with value-based care organizations Knowledge of HMO referral processes Experience with specialty care coordination Familiarity with quality measures and care gap closure initiatives Physical Requirements Ability to sit for extended periods Ability to manage multiple tasks simultaneously Ability to communicate effectively with patients, providers, and insurance representatives Schedule Full-Time Hourly, Non-Exempt What Success Looks Like At Common Healthcare, a successful Referral Coordinator ensures patients receive timely access to specialty care, minimizes authorization delays, closes referral loops, and supports providers in delivering coordinated, high-quality care. They are proactive, responsive, highly organized, and capable of managing complex referral workflows while maintaining an excellent patient experience.

Pay:

From $20.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person