Authorizations / Referrals Coordinator

Posted Yesterday
Be an Early Applicant
Lecanto, FL, USA
In-Office
15-18
Junior
Professional Services • Telehealth
The Role
Process patient referrals and obtain prior authorizations from payers, verify insurance eligibility and benefits, resolve patient and payer inquiries, document authorizations in the system, escalate pending issues to management, and maintain HIPAA compliance.
Summary Generated by Built In

Description

Join the Team at PedIM Healthcare!

Delivering exceptional care, together.

Who We Are

PedIM Healthcare is the first private medical office of its kind in Citrus County – offering top-quality care for children, adults, and seniors all under one roof. We provide pediatrics, adult internal medicine, family practice, geriatrics, women’s care, medical weight-loss, sleep-medicine services and more.

Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County.

Why Work With Us?

  • A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties.
  • A values-driven environment: we listen, we help, we understand—and we care.
  • Community-oriented and recognized: voted “best of the best” in the region.
  • Opportunity to make a meaningful impact by supporting patients over their full life span—from children to seniors.
  • A workplace committed to employee development and delivering holistic care.

The Role

We are seeking a proactive and compassionate Authorization & Referrals Coordinator to join our Primary Care team! Responsible for processing referrals from the office and specialists in a timely and accurate manner. This function includes obtaining authorizations when needed from various insurance companies.

Benefits Available To You:

Joining our team means more than just a job—it means access to benefits designed to support your health, well-being, and work-life balance.

  • Health coverage + Sick-N-Well membership
  • Health Savings Account (HSA)
  • Life insurance
  • Paid time off
  • 401(k) plan + 4% company match
  • Relax Scofa membership
  • Employee Assistance Program (EAP)
  • Employee Recognition Program
  • And more!

What You'll Do: 

  • Verify insurance eligibility and benefits as it relates to the services rendered.
  • Obtain all referrals and authorizations as needed from payer for services.
  • Resolve patient and payer requests, inquiries and concerns in an expedient and respectful manner.
  • Ensure all authorizations and verifications have been completed and recorded in the system in a timely manner to avoid scheduling issues.
  • Inform management of any pending authorization or verification issues which might delay ability to perform scheduled procedures.
  • Maintain knowledge of and work in compliance with all HIPAA guidelines.
  • Perform related duties as assigned by the supervisor.
  • Maintain compliance with all company policies and procedures.

Requirements

Qualities That Make You A Great Fit: 

  • Minimum Education: High School Diploma or GED
  • Preferred experience: 1 year working in insurance, insurance verification, and/or customer service
  • Clean Background Check

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks, verification of credentials, and compliance with health and safety requirements.

Compliance & Equal Opportunity Notice

PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws. We believe every team member deserves a workplace built on respect, fairness, and opportunity.

We do not discriminate on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable law.

In alignment with the Americans with Disabilities Act (ADA), PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.

Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks, credential verifications, and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.

We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.

EOE

PM20

Skills Required

  • High School Diploma or GED
  • Experience with insurance, insurance verification, or customer service (preferred: 1 year)
  • Clean background check
  • Knowledge of and compliance with HIPAA guidelines
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
Year Founded: 2005

What We Do

Pediatrics and Internal Medicine Specialists, Inc. (PedIM Healthcare) is a private medical office in Citrus County, Florida, providing integrated primary care. They offer top-quality Pediatric, Women's, and Adult Internal Medicine care all under one roof, specializing in family practice, geriatrics, medical weight loss, and sleep medicine to serve the community's healthcare needs.

Similar Jobs

Cloudflare Logo Cloudflare

Senior Customer Engineer, Named - Minnesota

Cloud • Information Technology • Security • Software • Cybersecurity
Remote or Hybrid
United States
4400 Employees

Tapestry - Coach and Kate Spade Logo Tapestry - Coach and Kate Spade

Sales Associate III

eCommerce • Fashion • Retail • Sales • Wearables • Design
Hybrid
Orlando, FL, USA
16000 Employees
15-24 Hourly

Tapestry - Coach and Kate Spade Logo Tapestry - Coach and Kate Spade

Associate III

eCommerce • Fashion • Retail • Sales • Wearables • Design
Hybrid
Sweetwater, FL, USA
16000 Employees
15-19 Hourly

Tapestry - Coach and Kate Spade Logo Tapestry - Coach and Kate Spade

Sales Support Associate III

eCommerce • Fashion • Retail • Sales • Wearables • Design
Hybrid
Orlando, FL, USA
16000 Employees
15-22 Hourly

Similar Companies Hiring

Marble Health Thumbnail
Healthtech • Kids + Family • Social Impact • Software • Telehealth • Conversational AI
New York, New York
35 Employees
Empathy Thumbnail
Fintech • Healthtech • HR Tech • Information Technology • Financial Services • Telehealth
IL
200 Employees
Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account