Virtual Referral Coordinator

We are seeking a detail-oriented and experienced Virtual Medical Assistant – Referral Coordinator to support a busy medical clinic in the United States. This role is ideal for someone who is organized, proactive, and experienced in handling medical referrals, insurance verification, and provider communication in a fast-paced healthcare environment.

Role Description

This is a full-time remote position supporting the clinic's Referral Department.

The Virtual Referral Coordinator will be responsible for:

• Verifying patient insurance eligibility, benefits, and referral requirements.
• Processing and managing insurance referrals from initiation to completion.
• Contacting insurance companies to verify coverage and obtain referral authorizations.
• Communicating with healthcare provider offices to coordinate referrals, request documentation, and follow up on pending cases.
• Scheduling and coordinating patient appointments.
• Ensuring all referrals and documentation are processed accurately and in a timely manner.
• Providing excellent customer service while maintaining professionalism on every interaction.
• Maintaining accurate records and helping streamline the referral process to improve efficiency and patient experience.

Qualifications

• At least 2 years of experience working in a medical Referral Department.
• Strong knowledge of HMO and PPO insurance plans.
• Proven experience handling insurance referrals from start to finish.
• Proficiency in insurance verification and medical terminology.
• Excellent spoken and written English communication skills.
• Must be confident speaking on the phone, as this role primarily involves contacting U.S. healthcare provider offices and insurance companies.
• Strong phone etiquette and professional communication skills.
• Dedication to providing exceptional customer service.
• Ability to multitask, stay organized, and work independently in a remote environment.