New Patient/Referral Coordinator
California Pain•La Mesa, CA
•$21 - $24•Hybrid
About The Position
We are seeking an experienced and detail-oriented New Patient Coordinator to join a fast-paced pain management practice in the San Diego region. This role is critical in ensuring a seamless onboarding experience for new patients while navigating complex insurance requirements and specialty care referral processes. The ideal candidate brings strong knowledge of insurance verification, prior authorizations, and referral management within a specialty medical setting.
Requirements
- Minimum 2–3 years of experience in a medical front office, preferably in pain management or another specialty care setting
- Strong understanding of insurance plans, including HMO referral workflows, PPO plans, Medicare, Medi-Cal, and Workers’ Compensation
- Proven experience with insurance verification, benefits investigation, and prior authorization processes
- Familiarity with EMR/EHR systems (e.g., Athena, Epic, NextGen, etc.)
- Excellent organizational skills with the ability to manage high patient volume and multiple priorities
- Strong communication skills and ability to explain complex insurance information to patients clearly
- Detail-oriented with a high level of accuracy in data entry and documentation
Nice To Haves
- Knowledge of San Diego-area IPA/medical group referral processes is highly preferred
- Bilingual (English/Spanish) is a plus
- Experience working with interventional pain management or surgical specialties
- Understanding of compliance requirements and documentation standards in specialty care
Responsibilities
- Serve as the first point of contact for new patients, providing a professional and welcoming experience via phone and electronic communication
- Coordinate and schedule new patient appointments in alignment with provider availability and referral requirements
- Verify insurance benefits, eligibility, and coverage specifics for pain management services
- Obtain and process referrals and prior authorizations in accordance with HMO, PPO, Medicare, Medi-Cal, and Workers’ Compensation guidelines
- Communicate with referring providers, case managers, and insurance companies to ensure all required documentation is received prior to scheduling
- Accurately enter and maintain patient demographics, insurance information, and referral data in the EMR system
- Educate patients on insurance coverage, out-of-pocket costs, and required documentation before their visit
- Ensure compliance with state, federal, and payer-specific regulations
- Track referral status and follow up on pending authorizations to prevent delays in care
- Collaborate with clinical and billing teams to resolve insurance or scheduling issues
Benefits
- Health, dental, and vision insurance
- Paid time off and holidays
- Opportunities for growth within a specialty practice
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
