Primary Care Referral Coordinator

MAXhealth • Sarasota, FL

1d • Hybrid

About The Position

The Primary Care Referral Coordinator manages patient referrals for busy primary care practices, helping ensure patients’ insurance allows access to the services of the appropriate healthcare providers. The position supports primary care physicians by coordinating referrals to suitable in-network providers and services, and works with a multidisciplinary team. The work is time-sensitive and requires strong organization, communication, professionalism, and attention to detail.

This is a hybrid position for candidates who reside in Florida, with remote flexibility and occasional travel or office work. The stated hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. Pay starts at an average of $19 per hour, with flexibility based on qualifications and experience. Bilingual English/Spanish candidates are preferred but not required.

Requirements

• Reside in the state of Florida.
• Be willing to travel or work from an office occasionally.
• Excellent communication, professionalism, organization, and attention to detail.

Nice To Haves

• Two years of experience working as a Referral Coordinator in a primary care office.
• Familiarity with value-based care and Medicare Advantage insurance, including vendor and capitation rules.
• Bilingual English/Spanish skills.

Responsibilities

• Coordinate timely approval of referrals and support efficient operation of the referral department.
• Collect medical information to help determine the appropriate use of services.
• Monitor quality of care in relation to patients’ benefit plans and appropriate contracted providers.
• Work across teams on strategies to improve workflow, appropriateness, and quality outcomes of care.
• Communicate directly with healthcare providers to obtain complete and accurate information.
• Act as a liaison between insurance companies, healthcare providers, and the department to ensure required referrals for medical specialty visits are processed correctly.
• Accurately document information in the EHR/EMR.
• Provide coverage for other areas or departments as needed.
• Perform additional responsibilities as deemed necessary.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed