Referral Coordinator Job at Humana (Belle Glade)

Insurance Referral Coordinator

This role is pivotal within the healthcare industry, where you will be coordinat...

Location

United States , Mount Vernon

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in using Allscripts software
Experience with Cerner Technologies
Proficient in Customer Relationship Management (CRM) software
Familiarity with Dentrix Dental Software
Knowledge of Eaglesoft software
Ability to handle Answering Inbound Calls
Experience with Authorizations in an insurance setting
Understanding of Benefit Functions within an insurance framework
Knowledge of Billing Functions pertinent to insurance
Experience in Claim Administration within an insurance context

Job Responsibility

Accurately scheduling patients for prescribed referrals
Assisting patients in navigating through referrals and insurance authorizations
Answering patient inquiries appropriately, whether in person or via telephone
Delivering high-quality customer service to patients
Utilizing various software such as Allscripts, Cerner Technologies, CRM, Dentrix Dental Software, and Eaglesoft to manage tasks
Handling authorizations and benefit functions
Administering claims and overseeing billing functions
Receiving and responding to inbound calls
Ensuring tasks and competencies specific to the location/department are fulfilled

What we offer

medical
vision
dental
life and disability insurance
eligibility to enroll in company 401(k) plan

Fulltime

Associate Patient Care Coordinator

Join our team in New Hyde Park, New York as an Associate Patient Care Coordinato...

Location

United States , New Hyde Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Demonstrable experience in scheduling appointments accurately and efficiently
ability to handle and respond to VoiceMail messages in a timely and detail-oriented manner
experience with handling and processing copays and managing patient balance
proven ability to generate and handle referrals effectively
excellent interviewing skills to gather necessary patient information
training skills to guide and educate patients and their families about the care process
ability to work with offshore teams and coordinate care across different locations
strong communication skills to answer queries and provide information to patients and their families

Job Responsibility

Efficiently handle patient check-ins and checkouts
organize and manage patient appointments
handle high-volume phone inquiries
prepare and confirm patient charts for the following day
manage the collection of copays and patient balances
check and respond to voicemail messages
verify patient eligibility and handle referrals

What we offer

Medical insurance
vision insurance
dental insurance
life and disability insurance
401(k) plan

Fulltime

New

Insurance Referral Coordinator

We are looking for a dedicated Insurance Referral Coordinator to join our team o...

Location

United States , Oakland

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in referral coordination or a similar role
Proficiency in insurance referrals, verification processes, and prior authorization procedures
Strong skills in referral generation and patient intake
Familiarity with Medisoft or similar healthcare software
Excellent communication and interpersonal skills
Ability to manage multiple tasks and prioritize effectively
Detail-oriented with a focus on accuracy in record-keeping
Commitment to maintaining patient confidentiality and delivering quality service

Job Responsibility

Coordinate referral appointments, ensuring timely scheduling and communication with patients
Maintain and update patient records with accuracy and confidentiality
Verify insurance eligibility and benefits to support smooth processing of referrals
Obtain prior authorizations for medical services as required
Handle high volumes of outbound calls to patients and healthcare providers
Provide administrative support to streamline referral operations
Deliver exceptional customer service while addressing patient inquiries and concerns
Collaborate with healthcare teams to ensure effective care coordination

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Insurance Referral Coordinator

We are looking for 10 dedicated Insurance Referral Coordinators to join our heal...

Location

United States , Oakland

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in a healthcare or insurance referral coordination role
Strong knowledge of referral generation, authorization, and verification processes
Proficiency in patient intake procedures and maintaining accurate medical records
Familiarity with Medisoft or similar healthcare software
Excellent organizational skills and ability to prioritize tasks effectively
Exceptional communication skills for handling calls and interacting with patients and providers
Demonstrated ability to deliver high-quality customer service in a healthcare setting

Job Responsibility

Coordinate referral appointments for patients, ensuring all necessary details are accurately documented
Maintain and update patient records to reflect referral and insurance information
Verify insurance eligibility and benefits to support patient care processes
Obtain prior authorizations for referrals and procedures as required
Make outbound calls to patients and providers, with an average of 60+ calls daily
Provide administrative support to the healthcare team, ensuring efficient workflow
Deliver exceptional customer service to patients and providers, addressing inquiries promptly
Collaborate with colleagues to streamline referral generation and authorization processes
Focus exclusively on scheduling external referrals currently pending (approximately 2,500 referrals)
Contact specialty offices to secure appointments

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

Medical Office Assistant

IMS Care Center is currently searching for a professional, compassionate and kno...

Location

United States , Avondale

Salary:

Not provided

Integrated Medical Services, Inc.

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Must have one of the following: Certified Nursing Assistant (CNA) Certification, Registered Medical Assistant, emergency room or Emergency Medical Technician certification, or minimum of 2-5 years of medical assisting experience
Experience with office medical procedures and treatments and knowledge of insurance, managed care options, EMR and scheduling software
Requires exceptional interpersonal and communication skills. Ability to interact with people from different backgrounds and cultures
Requires the ability to manage multiple changing priorities in an effective and organized manner
Must have knowledge of and always follow HIPAA guidelines and secure Protected Health Information
The ability to work in a constant state of alertness and in a safe
Computer skills that support efficient usage of systems
Desire to deliver the best quality customer service
Professional demeanor when working with patients face-to-face or over the phone

Job Responsibility

Prepares patient for exam and treatment by taking and recording vital signs, symptoms and other necessary measurements and recording chief complaint
documents pain scores as appropriate and charts in electronic medical record accurately and efficiently. Report’s condition of patient which may be indicative of change in the patient's condition to the clinician. Assists providers with exams and minor in office procedures and acts as chaperone as needed
Performs a variety of office-based testing and treatments related to patient care under the supervision of a clinician, including but not limited to injections, aspirations, and other procedures as needed. May administer medications in accordance with established policies and procedures or as directed. Use universal sterile techniques and personal protective equipment as always needed to ensure compliance with OSHA regulations
Coordinates and manages patient care including pre-certifications, referrals, authorizations, prescriptions and scheduling of patients for clinic, hospital and other ancillary medical treatments and tests. Responsible for communicating test results, patient instruction regarding durable medical equipment and home exercise programs to patients, where directed. Acts as a resource to clinical and non-clinical staff to provide optimal patient care
Provides clerical support with patient/client notification and documentation, to include but not limited to complete medical records including labs, authorizations, X-Rays, hospital records and any previous care pertaining to each patient visit. Provides complete and accurate information necessary for billing related to the patient encounter in a timely fashion. Other duties to include scheduling follow up appointments with patients
Maintains a clean, functional environment including cleaning and disinfection of equipment, exam rooms and storage areas. Disinfects equipment and instruments using appropriate solutions following sterilization procedures. Follows manufacturer's recommendations and OSHA guidelines in handling hazardous substances. Performs basic maintenance of equipment and coordinates needed maintenance for prompt repairs
Orders supplies and stocks patient care areas. Monitor’s inventory including medication and injectables, i.e., expired medications/equipment, recalls and patient tracking
Keeps in communication with the front office to aid in patient flow. Responsible for prioritization of patient flow through clinical process
Front Office Duties when necessary and include: Answering patient calls and directing them to the appropriate department or
Scheduling and re-scheduling patient

What we offer

Medical, Dental, and Vision benefits
401k match available
Paid Time Off
short-term and long-term disability
life insurance
very lucrative 401K plan

Fulltime

Referral & Prior Auth Rep IV

Leads and executes referral coordination and prior authorization workflows for A...

Location

United States of America , Rochester

Salary:

21.23 - 28.66 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent required
3 years of relevant experience required
1 year of demonstrated leadership experience required
2–3 years in referral/prior authorization or care coordination, including neurology or another complex specialty preferred
or equivalent combination of education and experience
Medical terminology preferred
EMR proficiency (e.g., appointment and imaging order workflows)
Knowledge of payer prior authorization processes
Strong communication and customer service
Organizational and critical thinking skills

Job Responsibility

Leads and executes referral coordination and prior authorization workflows for Adult Neurology, ensuring accurate, timely, and compliant processing of referrals, testing, procedures, and specialty visits
Oversees workqueue distribution, provides day-to-day guidance and escalation support, and serves as liaison among patients, providers, clinical teams, and payers
Drives access, quality, and financial outcomes by applying neurology-specific knowledge, optimizing workflows, and training staff on standard work and system use
Referral & Prior Authorization Management: Prepare, submit, and track prior authorizations for neurology specialty visits, and outgoing referrals
verify benefits
document determinations and follow-ups in the EMR
Workqueue, Throughput & Team Leadership: Monitor and assign referrals across multiple neurology workqueues
balance workload, set priorities, and provide real-time guidance and escalation support
delegate tasks to meet turnaround targets
Neurology Referral Coordination & Scheduling: Validate medical necessity and ICD-10/CPT details

Fulltime

Revenue Cycle Referral Coordinator

This department is a large team that supports oncology patients within person an...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

High School Diploma/GED
Less than 1 year Medical Office Experience

Job Responsibility

Work directly with patients, physician and physician teams, and insurance companies to obtain authorizations and/or referrals for physician, imaging services, rehabilitation, infusion therapy, radiation oncology, and surgery appointment types for both the physician and facility
Adherence to the department’s policies and procedures related to the verification of eligibility/benefits, prior authorization requirements, and other identified financial clearance related duties
Authorizations and referrals must be obtained in a timely manner and status of such must be clearly documented in the relevant systems
The referral coordinator is responsible for timely escalation of financial clearance issues to the supervisor

What we offer

$1,000 Sign on Bonus
opportunities for growth within BMDA

Fulltime

Supervisor, Medical Office

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

25.79 - 33.52 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor's degree and 2 years of relevant experience required
Or equivalent combination of education and experience

Job Responsibility

Provides customer-focused service to support the care of patients, families and visitors in an outpatient setting
Pre-registers patients, schedules appointments, coordinates referrals and coordinates disposition procedures
Coordinates and supervises the daily activities of a support, production or operations team
Sets priorities for the team to ensure task completion
Supervises the daily operations for one or more medical offices
Works with leadership to recommend and implement procedures for efficient office operations
Assists with the development of efficient and effective processes to support and manage the flow of patient care, from initial referral to follow up
Compiles and analyzes statistics, prepares analytical and evaluative reports, and writes operating or procedural manuals or instructions, as needed
Prepares materials for publication about the department's activities
Assesses operational needs of the offices by working closely with leadership

Fulltime

Referral Coordinator

Humana

Location:
United States , Belle Glade

Category:
Office Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
March 18, 2026

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Location:United States , Belle Glade

Category:Office Administration

Contract Type:Not provided

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Job Description:

Job Responsibility:

Requirements:

Nice to have:

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Job Posted:March 18, 2026

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