Referral & Authorization Coordinator – Cardiology Practice

🔥 12 hours ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Referral Coordinator

👻 Ghost score 22%

infoinfo

🗣️🇪🇸 Spanish Required

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Logo of Staffing For Doctors

Staffing For Doctors

11 - 50 employees

Founded 2025

🏥 Healthcare

🤝 B2B

🎯 Recruiter

Healthcare • B2B • Recruitment

Staffing For Doctors is a U. S. -based staffing service that places HIPAA-trained, specialty-matched virtual medical assistants and related clinical support staff for medical practices. Their remote team members handle scheduling, EHR documentation and charting, prior authorizations, patient communication, and other administrative/clinical tasks across dozens of specialties; hires are presented quickly (matched in 24 hours and live/onboarded within ~48 hours) at a flat $14/hr rate with no long-term contracts. The company emphasizes compliance and data security (HIPAA-trained staff, SOC 2 certified, BAA included, 256-bit SSL), white-glove onboarding via a dedicated customer success manager, and serves practices through a portal and demo/onboarding process.

📋 Description

• Receive, triage, and manage high-volume cardiology referral intakes • Track referral requests from initial receipt through authorization approval and closure • Submit, track, and secure prior authorizations for cardiology office visits and specialist consultations • Verify insurance eligibility, copay, coinsurance, and network benefits • Coordinate with referring physician offices to obtain missing clinical documentation • Contact patients to explain coverage details and next steps • Manage Epic referral workqueues daily • Maintain accurate data entry, status updates, and clinical documentation • Contact insurance representatives to resolve authorization delays • Clarify medical necessity documentation to prevent service delays

🎯 Requirements

• Experienced, detail-oriented Referral & Authorization Coordinator • Direct hands-on experience using Epic EMR, specifically Referral and Authorization Workqueues (highly preferred) • Experience operating within a large medical group, health system, or enterprise clinical setting (highly preferred) • Bilingual English/Spanish for 2 of the 4 available openings (required for those openings) • Prior experience in a Cardiology practice or multi-specialty group (highly preferred) • Exposure to Medicare Advantage, state Medicaid programs, and major commercial payers (highly preferred) • Ability to manage high-volume cardiology referral intakes • Knowledge of HMO/PPO/POS authorization rules and payer guidelines • Experience verifying insurance eligibility, copay, coinsurance, and network benefits across Medicare, Medicaid, and commercial carriers • Ability to obtain missing clinical documentation from referring physician offices • Ability to communicate coverage details and next steps to patients • Proficiency in accurate data entry, status updates, and clinical documentation in Epic • Ability to resolve authorization delays and clarify medical necessity documentation with insurance representatives

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