Prior Authorization and Referral Coordinator

About us

Portiva started in 2009 with our mission to help Doctors and Medical Practitioners manage their practices better. Since then, Portiva has grown from a 3-person operation to one of the largest and most successful Medical and Dental Staff Providing Companies in the United States.

Position Overview

The Prior Authorization and Referrals Specialist is responsible for managing patient referrals by efficiently retrieving, organizing, and processing medical records. This role ensures seamless communication between healthcare providers, patients, and insurance companies while maintaining confidentiality and compliance with HIPAA regulations.

This is a full-time position, 30/40 hrs a week

The rate is $7 an hour or Php 45,000 to Php 61,000+ per month

What you be doing:

Medical Records Retrieval: Request, retrieve, and verify medical records to support patient care and referrals, ensuring accuracy and completeness.
Referral Management: Coordinate and process referrals efficiently, communicating with patients, providers, and insurers to ensure all necessary documentation is in place.
Data Entry: Maintain accurate records in electronic health systems and log all referral and retrieval activities.
Compliance: Ensure strict adherence to HIPAA regulations and organizational policies to protect patient confidentiality.
Communication: Act as the primary point of contact for referral inquiries, collaborating with healthcare teams to address issues and improve workflows.
Quality Assurance: Review and audit records to ensure accuracy, suggesting process improvements for greater efficiency.
What we’re looking for:

Excellent communicator (English)
Service delivery mindset—excellent service and attention to customers through phone conversations.
Background in healthcare (preferably referrals)
eCW experience/proficiency (preferred)
Experience navigating Availity (preferred)
Perks of the Job:

Permanent work-from-home setup
Opportunity to make a real impact in healthcare
Friendly and supportive team
Competitive Pay
Ready to Apply?

If this sounds like you, please complete this form:

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We will ONLY accept applications via the Google form above.

We will contact you within 3-5 days if you fit the requirements.

Good luck!