Coordinator, Referrals

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We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.

Job Summary

The Referral Coordinator plays a vital role in supporting patient care coordination by managing insurance pre-verifications, referral processing, appointment scheduling, and communication between patients, providers, and health plans. This individual ensures timely and accurate handling of all internal and external referrals, authorizations, and follow-up activities. The Referral Coordinator serves as a key liaison among clinics, specialists, and insurance carriers, while upholding a patient-centered and service-oriented approach.

Essential Duties & Responsibilities

Referral Management & Coordination :

• Process outgoing referrals promptly based on provider orders (e.g., specialty care, diagnostics, therapy).
• Review, validate, and document referral orders, input referrals and authorizations into the appropriate data systems.
• Schedule appointments with specialists or service providers, prioritizing high-quality, in-network, and cost-effective options.
• Track referral status, follow up on incomplete referrals, and ensure timely receipt of consultation reports.
• Close the referral loop by ensuring reports and documentation are routed to the appropriate provider.

Patient Communication & Navigation :

Insurance & Authorization Processing :

Value-Based Care Alignment :

Administrative Support & Documentation :

Care Team Collaboration :

Compliance & Data Privacy :

Clinic Support & Environment :

Education & Experience

Education Requirements

Required / Preferred

Education Level

Discipline

Required

High school diploma or GED

Knowledge, Skills & Proficiencies

Behavioral Expectations :

Job Requirements

Physical Requirements

This position works under usual office conditions. The associate is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Conditions

Work will involve constant driving / traveling to assigned clinics / territories.

Travel Required

Amount of Expected Travel

Details

Yes

0-25%

Flexibility to travel to clinical sites as needed.

Tools & Equipment Used

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

Disclaimer

The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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