Referral Coordinator

The Orthopaedic InstituteAlachua, FL
Hybrid

About The Position

As a Referral Coordinator, you play a key role in helping patients gain access to specialty care by processing referrals, coordinating authorizations, and ensuring all required documentation is completed accurately and in a timely manner. You will work closely with providers, clinical staff, and outside offices to facilitate smooth transitions of care while providing excellent customer service to patients.

Requirements

  • High School graduate or equivalent
  • Prior healthcare, referrals, authorizations, or medical office experience preferred but not required.
  • Previous customer service experience helpful.
  • Strong understanding or willingness to learn medical insurance processes, including authorization and referral requirements.
  • Ability to read and interpret medical documentation and insurance guidelines.
  • Excellent communication skills, both verbal and written.
  • Strong organizational skills with the ability to manage high volumes of information.
  • Basic computer skills with the ability to learn referral and practice management software.
  • Ability to multitask and maintain accuracy in a fast-paced environment.

Responsibilities

  • Receive, review, and process incoming referrals from physicians, hospitals, and other healthcare providers.
  • Verify patient insurance benefits and obtain prior authorizations as required for specialist visits, imaging, or procedures.
  • Ensure all referral documentation is complete and routed to the appropriate provider or department.
  • Communicate with patients regarding referral status, required information, and scheduling next steps.
  • Coordinate with clinical teams to ensure referrals and authorizations are completed before the patient’s appointment.
  • Follow up with insurance companies, outside offices, and patients to resolve delays or missing information.
  • Maintain accurate logs, tracking systems, and documentation per TOI policies and payer requirements.
  • Provide excellent customer service by actively listening, showing empathy, and offering solutions.
  • Assist with office and clerical tasks as needed and support other staff within the department.
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