Cano Health

Coordinator, Referrals

Aventura, FL

Sponsorship not specifiedDetected 5 days ago

ComplianceExcelHRISCustomer SupportHIPAAEHR/EMRPatient CareCommunicationCollaborationTime ManagementMicrosoft Office

About the role

The Referral Coordinator plays a vital role in supporting patient care coordination by managing insurance pre-verifications, referral processing, appointment scheduling, and communication between patients, providers, and health plans.
This individual ensures timely and accurate handling of all internal and external referrals, authorizations, and follow-up activities.
The Referral Coordinator serves as a key liaison among clinics, specialists, and insurance carriers, while upholding a patient-centered and service-oriented approach.

Provide compassionate, professional support in person and over the phone, reinforcing a positive patient experience.
Collaborate with payers and specialists to expedite authorizations and respond to denials or appeals.
Support accurate and timely documentation to meet risk adjustment and quality reporting requirements.
Administrative Support & Documentation:
Generate and distribute referral forms, notifications, and supporting documents.
Provide clerical support to the clinical team, including managing lobby areas and assisting with PPE protocols.
Collaborate with front desk and clinic staff to monitor scheduling and patient flow.

The associate is required to work at a personal computer as well as be on the phone for extended periods of time.
Must be able to stand, sit, walk and occasionally climb.
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of the job.
It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job.
Physical demands include ability to lift up to 50 lbs.

Proactive schedule referrals related to key quality metrics, including HEDIS, STAR, and Quality Improvement (QI) measures (e.g., mammograms, colonoscopies, diabetic eye exams).
Track referral patterns and help guide patients to in-network or preferred providers aligned with Accountable Care Organizations (ACOs) and narrow network strategies.
Identify, address, and escalate referral delays or barriers that may impact clinical outcomes or contractual performance metrics.

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.
Obtain prior authorizations and approvals from health plans as needed.
Maintain accurate documentation of all referral activities in the Electronic Health Record (EHR) system.

This listing is sourced directly from Cano Health's careers page and normalized into a canonical job model.