ABOUT US

We are a busy orthopedic/physical therapy practice dedicated to providing high-quality, patient-centered care. We work closely with multiple insurance providers and specialty offices, and we’re seeking a detail-oriented Outpatient Referral Coordinator to join our administrative team.

POSITION OVERVIEW

The Referral Coordinator is responsible for managing all outgoing referrals and authorizations for outpatient services. This role requires strong organizational skills, attention to detail, and prior experience with HMO websites, portals, and insurance submission processes. The ideal candidate will be a strong communicator who thrives in a fast-paced environment and enjoys working collaboratively with both patients and providers.

QUALIFICATIONS

• Previous experience in a medical office setting, preferably orthopedic or outpatient care.
• Strong knowledge of HMO processes, insurance portals, and referral/authorization submission workflows.
• Excellent communication and customer service skills.
• Proficiency with EMR systems (experience with EMA or similar a plus).
• Ability to multitask, stay organized, and meet deadlines.

QUALIFICATIONS

• Previous experience in a medical office setting, preferably orthopedic or outpatient care.
• Strong knowledge of HMO processes, insurance portals, and referral/authorization submission workflows.
• Excellent communication and customer service skills.
• Proficiency with EMR systems (experience with EMA or similar a plus).
• Ability to multitask, stay organized, and meet deadlines.

KEY RESPONSIBILITIES

• Process and submit referrals and authorizations through HMO and commercial insurance websites/portals.
• Track and follow up on referral and authorization requests to ensure timely approvals.
• Communicate with providers, patients, and insurance representatives to resolve any issues or delays.
• Maintain accurate documentation of all submissions, approvals, and denials.
• Coordinate with front office, clinical staff, and billing to support smooth patient flow.

Key Responsibilities

• Process and submit referrals and authorizations through HMO and commercial insurance websites/portals.
• Track and follow up on referral and authorization requests to ensure timely approvals.
• Communicate with providers, patients, and insurance representatives to resolve any issues or delays.
• Maintain accurate documentation of all submissions, approvals, and denials.
• Coordinate with front office, clinical staff, and billing to support smooth patient flow