We Are Hiring: Medical Referral Specialist

Key Responsibilities:

• Process and manage incoming and outgoing medical referrals from initiation to completion

• Coordinate referrals between primary care providers, specialists, and facilities

• Verify insurance eligibility and referral requirements

• Obtain authorizations when required for referred services

• Follow up on pending referrals and approvals to prevent delays in patient care

• Communicate with insurance companies, provider offices, and patients regarding referral status

• Accurately document referral information and outcomes in the EMR/EHR system

• Handle inbound and outbound calls professionally

• Respond to patient and provider inquiries related to referrals

Requirements:

• Must be a Nurse Graduate

• Minimum 2 years of experience in a Referral Department, Referral Coordination, or similar medical administrative role

• Strong understanding of medical terminology

• Experience working with EMR/EHR systems (e.g., ECW or similar platforms)

• Experience with insurance verification, referral eligibility, and payer communication

• Experience handling patient and provider calls professionally

• Fluent in English, both spoken and written

• Available to start immediately

• Must have own computer/laptop, stable internet connection, noise-canceling headset, and backup equipment

• Confident in handling inbound and outbound calls