We are seeking a detail-oriented and results-driven Bilingual Referral & Authorization Coordinator to support a high-volume Cardiology practice. The idóneo candidate has at least 2 years of hands-on U.S. healthcare experience across the full referral lifecycle, possessing fluent English/Spanish communication skills and deep knowledge of insurance eligibility verification and prior authorization processes for specialist office visits.
Key Responsibilities:
Full Referral Lifecycle Management: Take full ownership of referral intake, clinical documentation gathering, processing, tracking to completion, and closing within Epic EMR.
Workqueue Management: Daily monitoring and efficient management of Epic referral and authorization workqueues to prevent care delays.
Bilingual Patient & Provider Coordination: Communicate fluently in both English and Spanish with patients, referring provider offices, and insurance carriers to clarify details and resolve authorization roadblocks.
Insurance & Eligibility Verification: Verify patient coverage, plan benefits,



and navigate complex HMO/PPO payer guidelines.
Prior Authorizations: Secure timely prior authorizations specifically for specialty office visits and outpatient consults.
Documentation & Follow-Up: Maintain meticulous, accurate status notes and patient records in Epic to maintain high-volume compliance and transparency.
EMR Requirement: Proficiency using Epic EMR (preferably experience handling Epic referral/authorization workqueues).
Language: Fully bilingual in English and Spanish (written and verbal fluency required).
Experience: Minimum of 2+ years dedicated to Referral Coordination and/or Prior Authorization within a U.S.-based medical practice.
Specialist Focus: Proven experience handling office visit authorizations and end-to-end referral workflows (this is a dedicated specialist role, not a general front-desk position).
Payer Knowledge: Thorough understanding of U.S. insurance carriers (Medicare, Medicaid, Commercial H

📌 Bilingual Referral (Colombia)
🏢 Staffing For Doctors
📍 Colombia