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TYPE OF WORK
Full Time
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SALARY
$6 USD per hour
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HOURS PER WEEK
40
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DATE UPDATED
Apr 2, 2026
Position Summary
Bay Colony Physicians is seeking a detail-oriented Referral Processor based in the Philippines to support our referral workflow remotely. This role is responsible for processing patient referrals, verifying required information, coordinating with specialists, obtaining authorizations when needed, and ensuring referrals are completed accurately and promptly. The ideal candidate is organized, responsive, HIPAA-conscious, and comfortable working with US healthcare administrative processes.
Key Responsibilities
Receive, review, and process incoming and outgoing patient referrals.
Verify patient demographics, insurance information, diagnosis codes, and ordering provider details.
Check referral requirements and gather missing documentation before submission.
Submit referrals to specialist offices, imaging centers, therapy providers, and other facilities as directed.
Track referral status from initiation through scheduling and completion.
Communicate with patients by phone, secure message, or
Coordinate with US-based clinic staff, providers, medical assistants, and front office teams.
Follow up with insurance payers or portals for referral and prior authorization requirements, where applicable.
Maintain accurate notes in the electronic medical record and referral tracking systems.
Escalate urgent, incomplete, or denied referrals to the appropriate supervisor or clinic contact.
Meet turnaround time, quality, and productivity expectations.
Protect patient confidentiality and comply with HIPAA and company privacy policies.
Required Qualifications
At least 1–2 years of experience in healthcare administration, medical referrals, medical billing support, prior authorization, or call center support for a US medical practice.
Strong English communication skills, both written and verbal.
Experience working remotely in a professional setting.
High attention to detail and strong organizational skills.
Comfortable using EMR/EHR platforms, payer portals, spreadsheets, and web-based tools.
Ability to manage multiple tasks and follow standard operating procedures.
Reliable computer, headset, backup internet option, and quiet work environment.
Preferred Qualifications
Experience supporting a US physician practice, multispecialty clinic, or primary care office.
Familiarity with insurance verification, HMO/PPO referral rules, and prior authorization workflows.
Experience with Athenahealth, eClinicalWorks, Kareo, or similar systems.
Knowledge of medical terminology, CPT, ICD-10, and basic referral documentation requirements.
Key Competencies
Accuracy and thoroughness
Time management
Professional communication
Problem-solving
Accountability
Patient service mindset
Data privacy awareness
Work Schedule
Full-time remote role
Must be available during US clinic business hours, preferably Central Time
Occasional overtime may be required based on referral volume
Performance Metrics
Referral turnaround time
Accuracy and completeness of submissions
Follow-up completion rate
Documentation quality
Attendance and responsiveness
Patient and clinic satisfaction
