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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare operations with a focus on clinical document review and referral coordination. Proficient in applying clinical criteria and managing patient communications effectively within a US healthcare context.
Highest-signal resume keywords
Healthcare Operations ExperienceClinical Document ReviewReferral CoordinationMedical Terminology KnowledgeOutbound Patient Call Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Document ReviewReferral CoordinationPrior AuthorizationUtilization ReviewMedical Records ReviewApplying Clinical CriteriaScheduling AppointmentsCollecting Clinical InformationLogging Call OutcomesQualification Rules Application
Soft Skills
Attention to DetailEffective CommunicationProblem-SolvingDecision-MakingAdaptability
Tools & Technologies
Athena HealthEpicEClinicalWorksAutomated Intake SystemsAI-Assisted Referral Systems
Industry Keywords
Neurology ReferralsUS Healthcare ProvidersMulti-Specialty PracticesClinical TerminologyPatient Scheduling
About the role
Key responsibilities & impact- Review incoming neurology referrals and decide whether to accept, request more information, or deny them based on practice-specific rules
- Read multi-page clinical documents, including MRI reports, prior neurologist notes, and primary care summaries
- Confirm all required documents are present before referrals move to scheduling
- Record the rationale for every decision in the internal comments field
- Call patients to schedule appointments after referrals are approved
- Contact patients or referring offices to collect missing clinical or insurance information
- Log call outcomes and follow-ups in the referral system
- Qualify 50–60% of straightforward referrals independently within the first 30 days
- Apply feedback from full decision review to reduce errors through day 90
- Escalate unclear or edge-case referrals before making a decision
- Learn and apply new qualification rules as additional practices are onboarded
Requirements
What you’ll need- 2+ years in a healthcare operations role with clinical document review in scope (referral coordination, prior authorization, utilization review, or medical records review)
- Hands-on review of multi-page clinical documents, including physician notes, specialist assessments, and MRI or imaging reports
- Experience applying clinical or practice-specific criteria to accept, deny, or request more information on referrals or authorizations
- Working knowledge of medical terminology, including distinguishing document types such as imaging reports and imaging orders
- Outbound patient call experience for appointment scheduling or collecting missing information
- Experience supporting US-based healthcare providers, practices, or health systems
- English at C1+ (CEFR) for live, unscripted calls with US patients
- Neurology or other complex specialty referral experience is nice to have
- Athena Health, Epic, eClinicalWorks, or another named US EMR experience is nice to have
- Healthcare BPO background serving US specialty or multi-specialty practices is nice to have
- Experience with automated or AI-assisted intake or referral systems is nice to have
Benefits
Comp & perks- Competitive Salary: Based on experience and skills
- Fully remote—work from anywhere
- Recognition for maintaining 100% CRM hygiene and on-time reporting
- Generous PTO in accordance with company policy
- HMO coverage after 3 months for full-time employees based in the Philippines
- Direct mentorship from international industry experts
- Ongoing access to resources for professional growth
- Global networking with professionals worldwide