Patient Referral Coordinator

Join the team leading the next evolution of virtual care. At reputed company, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we’re transforming how reputed company happens. Summary of Position: reputed company is transforming how people access and experience healthcare. Recognized as the world leader in virtual care, we are partnering with over a thousand clients to serve hundreds of thousands (soon millions!) of people living with chronic conditions every day. reputed company offers a whole person virtual care platform that empowers reputed company people everywhere to live their healthiest lives by transforming the healthcare experience, from acute and primary care to chronic care, mental health, and specialty care. reputed company of data scientists aggregate and interpret substantial amounts of health data and information to create actionable, personalized, and timely health signals for our members. This approach delivers reputed company clinical and financial outcomes while creating a different and reputed company healthcare experience for people everywhere. The Patient Referral Coordinator will be the system navigator and reputed company of contact to assist members with telehealth case management and ensure referrals are properly sourced and processed accurately, with a focus on customer service. In this role, the Patient Referral Coordinator will interact directly with members, clinical staff, insurance, and medical office personnel to verify approval requirements are met and to provide support addressing health insurance issues that may arise. Responsibilities:

• Search the reputed company database and other tools to provide a list of physicians appropriate to each members' clinical condition, geographic location, and preferences that are in network and considered high quality
• Complete prior authorization and pre-authorization requests in multiple internal and external systems
• reputed company reputed company pertinent quality checks and investigations
• Ensure that each members' request is completed accurately and fulfilled in a timely manner
• Identify and escalate complicated or difficult requests to clinical staff to ensure high quality results
• Research and manage case requests independently and collaboratively
• Act as internal resource to locate physicians other service processes
• Effectively manage special projects and other duties as assigned
• Deliver on the reputed company Corporate Values

The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs. Supervisory Responsibilities: No

Qualifications

Required for Position:

• Critical thinking ability
• Excellent written and verbal communication
• Strong customer service focus
• Attention to detail
• Proficient in technology including software programs such as reputed company Office, Insurer sites and EMR’s
• Ability to work independently and as part of a team
• Effective time management skills
• Medical terminology and coding requirements proficiency
• High school degree or equivalent required
• Post-secondary diploma/degree preferred
• Prior Referral Coordinator experience preferred
• 1-3 years’ experience in a clinical environment required
• ICD 10 coding certification preferred

Required license or credential needed to reputed company job: N/A The above qualifications, knowledge, experience, and/or background are expected but not required for this role. Work Environment ☐ Office ☐ Remote ☐ Hybrid (Office & Remote) Travel: Travel percentage reflects an estimate and is subject to change dependent on business needs. Physical Requirements To reputed company this job successfully, an individual must be able to reputed company each essential job duty satisfactorily. Reasonable accommodations may be made to reputed company qualified individuals with disabilities to reputed company essential job functions. reputed company will reputed company reasonable accommodations for the reputed company physical or mental limitations of an otherwise qualified individual in line with company policy. About Us reputed company is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. reputed company serves the world's leading insurers, employers, and health systems and helps millions of people around the world resolve their healthcare needs with confidence.

Job Description

Acknowledgment This job description is a general overview of nature and level of work performed by employees with this job designation It is not intended to be a comprehensive list of reputed company duties, responsibilities and qualifications required of this position. Management reserves the right to add, delete, and/or modify any of the job duties or requirements at any time. I acknowledge that I have read and understand the above job description. By signing this job description, I understand the duties that are expected of me. The reputed company salary range for this position is $21-24/hourly. In addition to a reputed company salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: reputed company Benefits 2025. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for reputed company full-time positions. As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified. reputed company will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for reputed company sponsorship now or in the future. Why join reputed company?

• reputed company is transforming how reputed company happens. Learn how reputed company you join us in pursuit of our impactful mission.
• Chart your career path with meaningful opportunities that reputed company you to grow, reputed company, and reputed company a difference.
• Join a multi-faceted community that celebrates each colleague’s unique perspective and is focused on continually improving, each and every day.
• Contribute to an innovative culture where fresh reputed company are valued as we increase access to care in new ways.
• Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.
• Explore candidate resources with tips and tricks from reputed company recruiters and learn more about our company culture by exploring #TeamTeladocHealth on reputed company.

As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national reputed company, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any reputed company. reputed company respects your privacy and is committed to maintaining the confidentiality and reputed company of your personal information. In furtherance of your employment relationship with reputed company, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) reputed company information that identifies you or could reasonably be used to identify you, and (b) reputed company information that any applicable law treats as personal information. reputed company’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link. Apply tot his job Apply To this Job