Referral Coordinator, Bilingual Spanish Preferred

This is a fully remote position, open to applicants in Florida.

📋 Description

• Oversee the timely and precise coordination of incoming and outgoing patient referrals.

• Manage outbound referrals for various VIPcare primary care clinics or facilitate inbound referrals for a specialty practice, based on business requirements.

• Assess provider orders and referral requests.

• Communicate with patients, specialty offices, referring providers, and receiving providers.

• Assist in coordinating patient appointments and scheduling.

• Verify patient demographic details and insurance information.

• Confirm referral and authorization requirements while resolving any outstanding issues with insurers or internal teams.

• Provide explanations of referral instructions and appointment details to patients.

• Address scheduling obstacles and patient concerns.

• Obtain and exchange clinical documentation, medical records, and necessary information.

• Follow up on pending referrals, appointments, and incomplete documentation.

• Retrieve and distribute consultation notes, test results, and other medical records.

• Document referral activities, appointment statuses, patient communications, and related information in the EMR and tracking systems.

• Monitor referral work queues, reports, and outstanding tasks; identify delays and discrepancies, escalating as necessary.

• Respond to incoming calls, patient inquiries, and requests from healthcare providers.

• Maintain relationships with patients, clinic teams, specialty practices, and other stakeholders.

• Adhere to HIPAA, privacy, documentation, and regulatory requirements.

• Identify recurring referral challenges and suggest improvements in workflow, communication, and patient experience.

• Report to the Director of Clinic Operations.

• Perform additional duties as assigned.

⛳️ Requirements

• High school diploma or equivalent is required.

• A minimum of 3 years of experience in administrative, scheduling, customer service, or related fields.

• Bilingual in Spanish is preferred.

• Familiarity with the geographic area served, including local healthcare providers, specialty practices, and patient care resources, or the ability to quickly acquire this knowledge.

• Experience in a healthcare environment is preferred, though not mandatory.

• Background in referral coordination, medical reception, medical assisting, patient scheduling, or clinic-based administrative roles is preferred but not required.

• Knowledge of medical terminology, healthcare operations, insurance verification, referral authorizations, and electronic medical records is preferred but not mandatory.

• Experience with eClinicalWorks or a similar electronic medical record system is preferred but not required.

• Strong critical thinking and problem-solving abilities.

• Excellent organizational and time management skills.

• Strong written and verbal communication skills.

• Exceptional interpersonal and customer service skills.

• Ability to work independently while effectively collaborating with internal and external stakeholders.

• Proficiency in Google Workspace, including Drive, Docs, and Sheets.

• Ability to maintain spreadsheets, navigate operational reports, and track referral activities.

• Strong attention to detail, follow-through, and accountability.

• Capability to maintain confidentiality and manage protected health information according to HIPAA and organizational policies.

• Appreciation for cultural diversity and sensitivity towards served patient populations.

• Compliance with BHG's Remote Workers Policy, including maintaining a private and secure workspace, reliable electricity and internet connectivity, adherence to HIPAA and confidentiality requirements, and applicable timekeeping requirements for nonexempt positions.

• Ability to remain in a seated position for extended durations.

• Proficiency in operating computers, keyboards, mice, telephones, and standard office equipment.

• Capability to communicate with patients, healthcare providers, and team members in person, by phone, and electronically.

• Ability to review electronic medical records and referral documentation for accuracy and completeness.

• Ability to occasionally stand, walk, bend, and reach.

🏝️ Benefits

• A reliable team dedicated to providing 5-star service.

• Opportunities for career growth and personal and professional development.

• Requirement for a private and secure remote workspace.

• Remote work arrangement available.

• Team support to empower employees in caring for patients.

• A Better Health environment focused on patient care and outcomes.