Clinical Admin Coordinator

Job Description

Job Description

Referral Navigator Representative

Job Type: Full-Time / Remote
Work Location: Remote
Schedule: 8:00 AM–7:00 PM scheduling window; specific shift assigned based on business needs
Contract: 08/17/2026 to 12/31/2026
Pay Rate: $13.50/hr (Paid Weekly)
Allmed Benefits: Vision, Health, Dental Insurance and 401(k)
Interview Process: One video interview

Position Overview

We are seeking a Referral Navigator Representative to support authorization and referral operations in a remote healthcare environment. This position is responsible for coordinating fax-based documentation and supporting the authorization process to ensure referrals and prior authorization requests are processed accurately, efficiently, and within established timelines.

The ideal candidate will have experience in healthcare administration, prior authorizations, referrals, or health plan operations, with a strong understanding of payer requirements and healthcare workflows.

Key Responsibilities

• Coordinate incoming and outgoing faxes related to referrals and prior authorizations.
• Review referral and authorization documentation for completeness and accuracy.
• Process and route documentation to the appropriate departments, providers, or health plan representatives.
• Track authorization and referral requests and follow up on outstanding documentation.
• Work with provider offices, insurance plans, and internal teams to obtain required information.
• Ensure requests are processed according to established payer guidelines and turnaround times.
• Maintain accurate records and documentation within applicable systems.
• Identify missing or incomplete information and take appropriate action to resolve issues.
• Protect confidential patient information and maintain compliance with HIPAA and applicable healthcare regulations.
• Support utilization management and authorization workflows as assigned.

Required Qualifications

• 2–4+ years of experience in prior authorization processing, referral coordination, healthcare administration, or healthcare operations.
• Knowledge of insurance plans, payer guidelines, and authorization requirements.
• Understanding of basic medical terminology.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple tasks and prioritize work in a fast-paced environment.
• Strong computer skills and ability to navigate multiple systems.
• Ability to work independently in a remote environment.

Preferred Qualifications

• Experience working with managed care organizations, health plans, or provider offices.
• Familiarity with utilization management workflows.
• Experience with compliance standards and audit processes.
• Previous experience coordinating referrals and authorizations through fax-based workflows.