Centralized Referrals Coordinator

This is a fully remote position, open to applicants in California, +8 more states.

📋 Description

• Monitor and manage the central referral queue (fax, e-referral, and portal) daily, aiming to process new referrals within one business day.

• Evaluate referrals for demographics, insurance details, diagnosis or reason for referral, urgency, and necessary clinical documents.

• Verify insurance eligibility and identify any authorization or plan issues prior to scheduling.

• Reach out to patients via phone and text to arrange appointments, following up until referrals are either booked or closed.

• Align patients with the appropriate provider, specialty, location, and type of appointment.

• Expedite urgent referrals according to established protocols.

• Confirm appointments or notify referring provider offices of unreachable patients.

• Maintain precise, real-time referral status in ModMed and associated tracking systems.

• Monitor and report on referral volume, contact duration, booking times, conversion rates, and reasons for lost referrals.

• Collaborate with office managers, the Patient Support Center, and clinical staff to address scheduling conflicts and capacity issues.

• Recognize recurring referral and capacity challenges and escalate them accordingly.

• Undertake additional duties as assigned.

• Participate in occasional in-person team meetings or events as required.

⛳️ Requirements

• High school diploma or equivalent is required.

• An associate's degree is preferred.

• 2+ years of experience in medical scheduling, patient access, referral coordination, or a similar healthcare position.

• Proficient understanding of insurance verification, prior authorizations, and medical terminology.

• Experience with an EHR or practice management system; familiarity with ModMed is a plus.

• Excellent phone skills with a patient-first attitude.

• Highly organized and capable of managing a large queue without losing track of follow-ups.

• Comfortable working within defined metrics and turnaround times.

• Bilingual (English/Spanish) is preferred.

• Basic knowledge of HIPAA & OSHA compliance is required.

🏝️ Benefits

• Supportive work environment equipped with the necessary tools for success and professional growth.

• Medical coverage (including Virtual Care).

• Health Savings Account/Flexible Spending Account.

• Dental insurance.

• Vision coverage.

• 401K plan available after 30 days of employment.

• Company-sponsored Short Term Disability (only applicable for non-California employees).

• Pre-tax savings options for public transit commuters.

• Additional personal holiday for birthdays.

• Employee discounts on Schweiger skin care products and cosmetic services.