Referral Coordinator (Bilingual English/Spanish)

Job Overview

We are seeking an experienced Bilingual Referral Coordinator to join our healthcare team. The ideal candidate has a strong background in referral coordination, insurance authorization processes, and patient care coordination. This role requires excellent organizational and communication skills to ensure patients are seamlessly referred to specialists, surgery centers, and hospitals while maintaining compliance with payer requirements.

Philippines-based bilingual candidates are preferred; however, qualified bilingual candidates from other locations will also be considered.

What We're Looking For

The ideal candidate is detail-oriented, proactive, and able to manage multiple referrals simultaneously while providing excellent service to patients and healthcare partners. They should be comfortable working in a fast-paced environment, coordinating with multiple stakeholders, and ensuring referrals and authorizations are completed accurately and efficiently.

Requirements

Required Qualifications

• Fluent in English and Spanish (spoken and written).
• Previous experience as a Referral Coordinator in a medical practice.
• Hands-on experience submitting prior authorizations for procedures.
• Experience coordinating referrals with specialists, surgery centers, and hospitals.
• Experience processing outpatient referrals.
• Working knowledge of:
• Medicare (required)
• Medical/Medicaid (required, as applicable)
• HMO, PPO, and other commercial insurance plans
• California insurance guidelines and referral processes (required)
• Required experience using Athenahealth EMR.
• Strong understanding of insurance verification, referrals, and authorization workflows.
• Excellent communication, organization, and time management skills.
• Ability to manage a high-volume workload while maintaining attention to detail.

Preferred Qualifications

• Philippines-based bilingual candidates preferred.
• Experience working in multi-specialty or outpatient medical practices.
• Strong customer service and patient communication skills.

Benefits

Please note that this is a full-time contractor position (40 hours per week) with a negotiable pay rate depending on skillset and experience. The schedule is Monday through Friday, from 8 AM to 5 PM PST.