Referral/Care Coordinator- West Colonial

Job Description Insight Global is seeking a Care Coordinator for a top healthcare services client. This individual will support medical management and referral coordination by ensuring patients are efficiently scheduled for specialty care, authorizations are properly obtained, and all 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 We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.

We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

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https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements

• High school diploma or GED
• Strong customer service and professional communication skills
• Ability to multitask in a fast-paced healthcare environment
• Reliable, punctual attendance
• Prior medical office experience (referral processing experience strongly preferred)
• Experience processing referrals for HMO plans
• Experience using EMR systems
• Knowledge of medical coding