Source Job

$30–$30/hr
US

  • Obtain PCP referrals for patients enrolling in virtual cardiac rehab through high-volume follow-up via phone, fax, and portals.
  • Troubleshoot referral delays by navigating office barriers, verifying documentation, and escalating when needed.
  • Support insurance benefits verification and prior authorization checks as business needs arise.

Phone Communication Documentation Problem Solving

20 jobs similar to PCP Referral Specialist

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United States

  • Monitor and maintain assigned referral WorkQueues in Epic EMR, updating referral status, scheduling, and benefit details.
  • Identify and escalate referrals missing information or requiring additional action to the clinical team.
  • Conduct ineligibility notification calls and maintain accurate documentation in EHR and Aviary Health systems.

Aviary Health is redesigning heart health by delivering exercise and wellness for older adults with cardiovascular disease via telemedicine. The team is comprised of mission-driven clinicians, engineers, and professionals dedicated to evidence-based cardiovascular rehabilitation.

  • Submit and track prior authorization requests across multiple insurance payers
  • Gather and review clinical documentation required to support authorization requests
  • Follow up with payers on pending requests and monitor authorization status through resolution

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company operates with a fully remote workforce and emphasizes a detail-oriented, collaborative culture.

US Unlimited PTO

  • Conduct warm intake calls, manage panel adherence, and deploy multi-channel outreach to maximize program completion and appointment attendance.
  • Rapidly respond to last-minute cancellations and no-shows, filling open slots to minimize idle clinical time.
  • Track engagement metrics and build outreach playbooks to lay the foundation for a future team.

Movn Health is the leading national provider of virtual cardiac rehabilitation and cardiovascular care, developed in partnership with Stanford University. We are a small, mission-driven team where every person has a direct impact on patient outcomes and company success.

US

  • Manage patient inquiries via telephone and portal, assist with scheduling follow-up appointments with providers or specialists.
  • Maintain electronic health records and patient rosters, coordinate documents for provider review, facilitate orders, and assist with prior authorizations.
  • Answer incoming calls professionally, collaborate with interdisciplinary care teams, and ensure seamless communication within the health network.

Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities, providing solutions to enhance health outcomes and streamline operations. Founded in 2021, the company has grown to serve 200,000+ seniors in 1,500+ communities across 32 states with a team of over 1,000 employees, and was ranked #147 on the Inc. 5000 list of fastest-growing private companies.

$47,000–$52,000/yr
US Unlimited PTO

  • Verify patient insurance eligibility, benefits, authorization requirements, and referral needs prior to services.
  • Obtain referrals from primary care providers and ensure all referral requirements are met before scheduling.
  • Communicate insurance coverage, financial responsibility, and estimated costs to patients in a clear and empathetic manner.

Oshi Health is a virtual digestive health practice on a mission to transform GI care. As a startup, they offer a remote-first, mission-driven environment with a focus on improving patient lives.

US 4w PTO

  • Manage inbound calls from patients and healthcare providers regarding insurance coverage, patient access, reimbursement support, and referral updates.
  • Review and validate patient demographics, insurance details, and referral information to ensure accurate processing.
  • Explain healthcare benefits including copays, coinsurance, deductibles, coverage limitations, and financial responsibilities.

Jobgether is a job matching platform that uses AI to connect candidates with employers. They focus on efficient, objective recruitment processes.

US

  • Manage concierge referral activities from start to finish, including research, provider selection, and scheduling coordination.
  • Research provider options and present appropriate choices to members based on their needs and coverage.
  • Collaborate with cross-functional teams to resolve issues and ensure seamless member support.

This company helps members find high-quality healthcare providers through a concierge referral service. It fosters a collaborative, mission-driven environment focused on member support.

$23–$24/hr
US

  • Own proactive outbound outreach to schedule patient appointments with Cadence clinicians and care team members.
  • Drive patient adherence to daily vital sign monitoring through consistent, personalized engagement.
  • Identify patients at risk of disengaging and execute re-engagement outreach to restore active participation.

Cadence is a clinical AI company automating the treatment of chronic disease. Grounded in partnerships with more than 20 leading health systems and serving over 100,000 patients, the company has been recognized by TIME as a top healthtech company and LinkedIn as a top startup.

Global

  • Support medical billing and revenue cycle activities including claims processing and AR follow-up.
  • Coordinate patient referrals, scheduling, and insurance verification with attention to detail.
  • Communicate with insurance companies and maintain accurate documentation across client systems.

SnappyCX provides outsourced administrative healthcare support to medical practices. They are a growing company focused on remote, independent contractor roles, emphasizing compliance with HIPAA and healthcare privacy requirements.

Global

  • Coordinate client intake, insurance authorization, and scheduling for healthcare clients
  • Manage staff schedules, client assignments, and communication with families and clinical teams
  • Maintain accurate records, track authorizations, and proactively resolve scheduling issues

Tele-Help-Ing provides professional remote staffing solutions to organizations that need skilled administrative and operational support. Team members work remotely while supporting established organizations as part of their remote staffing model.

US

  • Proactively monitor patient insurance eligibility and authorization status to prevent therapy interruptions.
  • Work directly with patients, sales teams, and physicians to obtain updated insurance or clinical documentation.
  • Serve as primary point of contact for patients, providers, and field partners, answering benefits and authorization questions.

LUX Infusion reimagines infusion care to be more human, supportive, and connected. It is a clinician-led, U.S.-based organization committed to inclusion, diversity, equity, and advancement.

US

  • Own the patient conversion funnel, ensuring timely outreach and scheduling for new referrals.
  • Conduct omnichannel outreach via phone and text to engage patients, build trust, and overcome objections.
  • Re-engage disengaged patients who cancel, miss appointments, or drop off to bring them back into care.

Protocol Behavioral Health improves cancer care by embedding specialized behavioral health and supportive care within oncology teams. The company is a fast-growing, early-stage startup built by experienced healthcare operators, focusing on partnership and value-based care delivery.

$75,000–$115,000/yr
US Unlimited PTO

  • Oversee daily operations of the Patient Connection team, including referral tracking, outreach, and quality assessment.
  • Design and optimize workflows for referral intake, outreach, enrollment, and follow-up to drive efficiency and scale.
  • Set and achieve team performance targets, develop individuals, and collaborate cross-functionally to improve patient experience.

Concert Health is a national behavioral health medical group integrating the Collaborative Care model into healthcare practices to improve patient lives. They are a diverse and inclusive Equal Opportunity Employer focused on providing high-quality behavioral health support.

$25–$34/hr
US

  • Answer 70-80 calls per day, scheduling appointments and providing clinic information with extreme attention to detail.
  • Deliver high-level customer service to patients, providers, and staff, triaging calls and documenting in EMR.
  • Coordinate patient access, including referrals, authorizations, and scheduling ancillary studies.

OHSU is Oregon's only public academic health center, blending clinical expertise with research advances for digestive disorder care. As Portland's largest employer, we offer opportunities to learn and advance in a system of hospitals and clinics, striving to build an anti-racist, multicultural institution.

US

  • Conduct outbound phone outreach and answer inbound calls to connect eligible members to RightMove's virtual MSK care.
  • Educate patients on available care options, verify eligibility, and schedule initial clinical evaluations.
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RightMove is a fast-growing digital health startup delivering best-in-class musculoskeletal (MSK) care through a value-based, virtual model. We are backed by the #1 orthopedic hospital in the world and focus on improving outcomes and reducing unnecessary healthcare costs.

US

  • Conduct 40–60 outbound calls daily to U.S. healthcare facilities to identify decision-makers and introduce care services.
  • Pre-qualify potential referrals regarding discharge timing, care needs, and insurance status, then schedule appointments for the field-based liaison team.
  • Maintain accurate CRM records of all outreach interactions, referrals, and appointments while working toward daily and weekly performance targets.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through objective, skills-based evaluation. The company focuses on ensuring fair and efficient recruitment processes for remote and flexible roles.

$47,000–$60,000/yr
US

  • Verify patient insurance eligibility and benefits prior to services and document findings accurately.
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  • Perform provider documentation and coding audits to ensure CPT, ICD-10-CM, and modifier accuracy.

Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.

US

  • Conduct high-volume outbound calls to engage patients and schedule healthcare services, including mammograms and bone density screenings.
  • Identify and address social determinants of health barriers by connecting patients to community resources.
  • Build trust with patients through clear, empathetic communication and ensure completion of care.

Sprinter Health is building the clinical and technological infrastructure to expand access to healthcare through home-based services. We have a rapidly growing team of visionary leaders backed by prominent VCs and advised by industry leaders.

US

  • Coordinate with healthcare providers, specialty pharmacies, and payers to ensure patients gain access to prescribed medication and understand cost support options.
  • Guide patients and caregivers through the post-prescription process including enrollment, benefits verification, prior authorization, and therapy initiation.
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Inizio Engage is a strategic, commercial, and creative engagement partner specializing in healthcare. With over 7,000 experts across more than 20 countries, the company offers a collaborative culture and comprehensive benefits, and has been recognized as a Best Place to Work in BioPharma.

US

  • Convert referrals into active clients by guiding families through Hera's onboarding process.
  • Coordinate between families and the care team to ensure a clean handoff to their matched Hero.
  • Identify and fix friction in the intake process to improve scalability and family experience.

Hera helps families navigate geriatric care management for their aging parents, making the process seamless and supported. They are an early-stage, fast-growing company with a mission-driven culture focused on redefining how we care for our parents.