Bilingual Referral Coordinator Spanish

Benefits : 401(k)

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

Our medical clinic is currently seeking a professional, detail-oriented Medical Referral Coordinator to join our team. This role is essential in supporting patient care through accurate, timely, and efficient referral management.

Primary Responsibilities :

Review medical records and clinical documentation to determine the need for specialist consultations or diagnostic tests.

Handles request from third party referral sources and provides relevant information and data.

Collaborate with healthcare providers to assess patients’ healthcare needs.

Identify appropriate specialists or facilities based on patients’ needs and insurance coverage.

Consult with physicians and patients to make informed referral decisions.

Schedule specialist appointments, diagnostic tests, and procedures for patients.

Coordinate appointment times, locations, and any necessary pre-visit requirements.

Maintain accurate and detailed records of patient referrals, including referral forms and documentation of communication.

Ensure compliance with documentation and data entry protocols.

Inform patients about their referral appointments, including date, time, location, and any special instructions.

Address patient questions and concerns related to referrals.

Verify patient insurance coverage for specialist visits and diagnostic tests.

Obtain any necessary pre-authorization or pre-certification from insurance providers.

Monitor and track the status of patient referrals, ensuring that appointments are kept and results are received.

Communicate with patients to confirm appointments and provide reminders.

Generate reports on referral activity, including tracking referral outcomes and referral volume.

Provide regular updates to healthcare providers and management on referral trends and issues.

Collaborate with healthcare providers and staff to identify opportunities for improving the referral process.

Implement quality improvement initiatives related to referral coordination.

Ensure compliance with healthcare regulations, including HIPAA and relevant state and federal guidelines.

Maintain confidentiality and security of patient information.

Qualifications :

Bilingual (Spanish a must)

High school diploma or equivalent

Previous experience in a medical office or healthcare setting is typically required.

Knowledge of medical terminology, healthcare procedures, and insurance practices.

Familiarity with electronic health record (EHR) systems and medical software.

Strong organizational and multitasking skills.

Excellent communication and interpersonal skills.

Detail-oriented, with a focus on accuracy and patient care.

Ability to work independently and as part of a healthcare team.

Physical Requirements :

Sit for extended periods of time

Must be able lift and carry, push or pull up to 50lbs

Must be able to talk, listen and speak clearly in person and on the telephone.

We Offer a Competitive Benefits Package :

• Medical, Dental, and Vision Insurance
• 401(k) Retirement Plan
• Paid Time Off (PTO)
• Paid Sick Leave (PSL)
• Paid Holidays

If you are a motivated professional who values accuracy, efficiency, and patient-centered service, we encourage you to apply.