Primary Care Referral Coordinator

MAXhealth • Lake Sarasota, FL

2d • Hybrid

About The Position

The Primary Care Referral Coordinator manages patient referrals for busy primary care practices and verifies that patients’ insurance allows access to the relevant healthcare services. The role supports primary care physicians in connecting patients with appropriate network providers and services, while collaborating with a multidisciplinary team. It requires strong organization, communication, professionalism, and attention to detail for time-sensitive daily work. Candidates must reside in Florida and be willing to travel or occasionally work from an office; the role offers remote flexibility. 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.

MaxHealth is a Florida primary care platform founded in 2015, focused on integrated, value-based care for adults and senior patients. It serves more than 70,000 value-based care patients through over 55 owned clinics and 30 affiliated practices, and has more than 700 employees. The company describes its workplace as supporting career growth, internal advancement, work-life balance, regular weekday office hours, and employee well-being. Its stated values include being customer-centered, compassionate, results-driven, proactive, collaborative, and adaptable.

Requirements

• Must reside in the state of Florida.
• Must 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 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.

Responsibilities

• Coordinate timely approval of referrals and support the efficient operation of the referral department.
• Collect medical information to help determine appropriate use of services.
• Monitor quality of care in relation to patients’ benefit plans and appropriate contracted providers.
• Contribute to workflow, appropriateness, and quality-of-care improvement strategies by working across teams.
• Communicate directly with healthcare providers to obtain complete and accurate information.
• Act as a liaison among insurance companies, healthcare providers, and the department to ensure referrals for medical specialty visits are processed correctly.
• Accurately chart 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