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Referral Quality Coordinator
IVX Health. Review incoming referrals processed through AI-assisted technologies .
Posted 10/5/2026full-timeRemote • Tennessee • United StatesJuniorMid-Level💰 $20 - $22 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare intake processes, including patient access, prior authorization support, and insurance verification, while maintaining high accuracy and productivity standards. Proficient in managing referral documentation and collaborating with clinical teams to ensure compliance with payer-specific requirements.
Highest-signal resume keywords
Healthcare Intake ExperienceInsurance VerificationPrior Authorization SupportMedical Terminology KnowledgeEMR Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient AccessReferral ManagementAuthorization WorkflowsClinical DocumentationMicrosoft ExcelMicrosoft OutlookHealthcare Workflow SystemsProcess ImprovementAI-Assisted Technology ReviewPayer-Specific Requirements
Soft Skills
Attention to DetailIndependent JudgmentProblem SolvingCollaborationCommunication
Tools & Technologies
EMR SystemsPractice Management SoftwareHealthcare Workflow Systems
Industry Keywords
MedicareMedicaidInfusion ServicesSpecialty PharmacyBuy-and-Bill Environments
About the role
Key responsibilities & impact- Review incoming referrals processed through AI-assisted technologies
- Verify patient demographics, insurance coverage, provider information, diagnosis details, and supporting clinical documentation
- Compare extracted information against source documents to ensure accuracy
- Classify referral documentation according to established workflow standards
- Identify incomplete, conflicting, duplicate, or inaccurate information
- Confirm referrals contain the information required for authorization and scheduling activities
- Recognize missing clinical documentation and payer-specific requirements
- Resolve routine discrepancies and escalate complex issues when appropriate
- Partner with providers, clinical teams, and internal departments to obtain missing information
- Prepare referrals for smooth progression into the authorization process
- Apply independent judgment when reviewing AI-generated information
- Maintain high levels of accuracy while meeting productivity standards
- Follow standardized review processes and quality expectations
- Identify recurring workflow, documentation, or technology challenges
- Contribute to process improvements and adoption of new technologies
Requirements
What you’ll need- High school diploma or equivalent
- 2-3 years of experience in healthcare intake, patient access, prior authorization support, insurance verification, or a related healthcare operations role
- Experience working with commercial and government payers, including Medicare and Medicaid
- Knowledge of medical terminology and clinical documentation
- Familiarity with referral management, insurance verification, and authorization workflows
- Experience using EMR, practice management, or healthcare workflow systems
- Proficiency with Microsoft Outlook and Excel
- Preferred: Associate degree in Healthcare Administration, Medical Office Management, or related field
- Preferred: Experience supporting infusion services, specialty pharmacy, or buy-and-bill environments
- Preferred: Familiarity with payer-specific authorization requirements across commercial and government plans
Benefits
Comp & perks- Medical, Dental, and Vision Coverage
- Prescription Drug Coverage and Telemedicine Services
- Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options
- 401(k) Retirement Plan with Company Match
- Life, AD&D, and Disability Insurance
- Accident, Critical Illness, and Hospital Indemnity Coverage
- Fertility and Family Planning Support
- Tuition Reimbursement and Certification Assistance
- Continuing Education and Professional Development Resources
- Employee Assistance Program and Wellness Support
- Paid Time Off
- Volunteer Time Off and Charitable Giving Match
- Employee Referral Bonus Program