Referral Coordinator

Pride Health is hiring a Remote Referral Coordinator to support our client. This is a contract assignment (Possibility of conversion or extension) and a great way to start working with a top-tier healthcare organization!

Job Details:

• Location: Remote job
• Job Type: Contract (Possibility of extension or conversion )
• Schedule: - Monday through Saturday, between 8:00 AM and 6:00 PM. Specific schedules will be assigned based on business needs.
• Pay Range: $13/hr - $13.50/hr on W2

Specific Duties:

• Managing internal and external referrals, including daily referral reconciliation activities.
• Gathering, reviewing, and processing required referral documentation while ensuring compliance with established turnaround times.
• Answering incoming telephone calls and assisting callers with scheduling, referral inquiries, and other support needs through the phone queue system.
• Delivering exceptional customer service by managing the referral process professionally, accurately, and efficiently.
• Obtaining, updating, and tracking prior authorizations and referral authorizations for internal and external providers.
• Collaborating with providers, patients, and internal departments to resolve referral-related issues.
• Monitoring referral status and ensuring timely follow-up on outstanding requests.
• Maintaining accurate documentation and records within applicable systems.
• Working independently while effectively managing workload and priorities.
• Maintaining a positive and professional demeanor when interacting with internal and external customers.

Must have qualifications/experience:

• High school diploma or GED equivalent required.
• Minimum of 1 year of healthcare-related experience.
• Minimum of 1 year of customer service experience.
• Strong verbal and written communication skills.
• Demonstrated commitment to providing excellent customer service.
• Strong attention to detail, organizational skills, and time management abilities.
• Proficiency in Microsoft Office applications, including Excel, Word, and Outlook.
• Ability to navigate multiple software systems and technologies simultaneously in a fast-paced environment.

Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity
Pride Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
Pride Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.

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