Referral And Medical Scheduler US Healthcare Experience Required

Job Description

About Us:

Outsourced.ph is a leading ISO-certified Philippines offshore outsourcing company that provides dedicated remote staff to some of the world's leading international companies. Outsourced is recognized as one of the Best Places to Work and has achieved Great Place to Work Certification. We are committed to providing a positive and supportive work environment where all staff can thrive. As an Outsourced staff member, you will enjoy a fun and friendly working environment, competitive salaries, opportunities for growth and development, work-life balance, and the chance to share your passion with a team of over 1,000 talented professionals.

About The Role

We are seeking an experienced Referral Coordinator & Medical Scheduler with a strong background in U.S. healthcare to support a busy Internal Medicine practice. This role is responsible for managing referral coordination, patient scheduling, insurance verification, specialist appointment coordination, and administrative follow-up.

The ideal candidate has direct experience working within a U.S. medical practice, is highly organized, detail-oriented, and comfortable communicating with patients, providers, specialists, and insurance companies while managing multiple priorities in a fast-paced environment.

Key Responsibilities

Referral Coordination

• Create, process, and track patient referrals from initiation through completion.
• Submit referrals and supporting documentation to specialists and receiving facilities.
• Monitor referral work queues and follow up on pending referrals.
• Obtain consultation reports and ensure referrals are closed appropriately.
• Notify patients once referrals have been processed.
  
  

Patient Scheduling

• Schedule new and follow-up appointments in accordance with clinic protocols.
• Coordinate specialist appointments and referral scheduling.
• Manage appointment confirmations, recalls, cancellations, rescheduling, and no-shows.
• Optimize provider schedules by filling open appointment slots.
  
  

Insurance Verification

• Verify insurance eligibility and benefits prior to patient visits.
• Determine referral and prior authorization requirements.
• Confirm provider network participation and communicate patient financial responsibilities.
• Escalate payer-related issues when necessary.
  
  

Administrative Support

• Manage incoming patient messages and provider communications.
• Process medical records requests and maintain accurate documentation.
• Coordinate with virtual assistants to ensure insurance verification and referral processing are completed.
• Support fax management, document handling, and patient portal communications.
  
  

Required Qualifications

• Minimum 3 years of experience working in a U.S.-based medical practice.
• At least 2 years of experience in one of the following:
• Referral Coordinator
• Medical Scheduler
• Patient Care Coordinator
• Medical Administrative Specialist
• Experience supporting Internal Medicine, Family Medicine, Multispecialty Clinics, Cardiology, Endocrinology, or Gastroenterology.

EMR Experience

• eClinicalWorks (eCW), Epic, Athenahealth, NextGen Healthcare, Cerner
  
  

Required Knowledge & Skills

• Referral coordination
• Medical scheduling
• Insurance eligibility and benefits verification
• Prior authorizations
• Medicare and Medicare Advantage plans
• Commercial insurance (UHC, BCBS, Aetna, Cigna)
• Patient communication
• Medical records and document management
• Microsoft Office and Google Workspace
• VoIP systems
  
  

The Ideal Candidate Is

• Detail-oriented and highly organized.
• Comfortable handling outbound patient calls.
• Able to manage multiple priorities independently.
• Professional, patient-focused, and an effective communicator.
• Experienced working in a fast-paced U.S. healthcare environment.
  
  

Nice to Have

• Experience with Internal Medicine or Family Medicine practices.
• Experience using eClinicalWorks (eCW).
• Familiarity with Medicare Advantage plans, UHC, BCBS, and other commercial payers.
• Experience supporting referral work queues and specialist coordination.
  
  

Work Schedule

• Monday-Friday, 11:00 PM-7:00 AM PHT (Manila Time)
  
  

Work Location:

• Home-based
• Should have a strong internet connection (minimum of 20 MBPS)
  
  

Note: As part of our recruitment process, we conduct a background check on all hired candidates. Please ensure that all required documents are prepared and submitted promptly.

By clicking on the "I'm Interested" button, I hereby allow Outsourced Quality Assured Services, Inc. ("Outsourced") to store and collect my personal information for the purposes of employment application. As such, I agree and authorize Outsourced to collect, store, or continue to use my personal information for the above-stated purpose, and to retain my personal information for a period of 1 year, and for these purposes only.

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