The External Referral Coordinator manages the end-to-end lifecycle of outside referrals for injured workers, acting as a liaison between the clinic, patients, insurance carriers, claims adjusters, third-party administrators (TPAs), and external specialty providers. This role ensures that referrals move promptly and accurately from authorization through documentation transfer, scheduling, and loop closure, so that patient care is not delayed.

What you will do:

Manage the end-to-end lifecycle of outside referrals, serving as the primary point of contact between insurance carriers, TPAs, claims adjusters, patients, and healthcare providers.
Review incoming authorizations for specialty, body part, expiration date, and MPN link before scheduling.
Run the MPN to identify an appropriate provider or clinic near the patient's home or the treating clinic, and scan results into IMS for the record.
Call prospective external providers/clinics to confirm they accept workers' compensation and to gather the specific documentation and requirements needed to schedule.
Compile and send complete medical documentation packets (labs, imaging, prior visit notes, referral request) to external providers ahead of the appointment.
Task the Authorization Department or adjuster for amended RFAs/authorizations when required information (provider name, address, accepted body parts, eval & treat vs. consult only, MPN link and expiration) is missing.
Follow up aggressively — and document follow-up on pending or delayed insurance authorizations to prevent stalls in patient care.
Coordinate and book external appointments for injured workers as soon as carrier authorization is secured.
Confirm appointments with patients, send reminders, and follow up promptly on missed or rescheduled visits.
Maintain meticulous, organized case records to ensure no pending authorization or referral falls through the cracks.
Follow up with receiving providers on record review status and close the loop by obtaining the consult note or outcome summary for the referring provider.

Qualifications:

Excellent verbal and written communication skills
Strong communication skills to handle high-volume, time-sensitive, multi-party coordination
Proficiency with electronic medical records and standard office software
Ability to multitask, prioritize, and follow directives in a fast-paced environment
Excellent time management skills
Demonstrates professionalism in tasks and daily interactions with others
Prior experience working in a medical setting; workers' compensation and prior-authorization experience preferred
Bilingual (English/Spanish) frequently preferred for California patient populations

Compensation Range: 

$23.00 to $24.00 Hourly

All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.

Why You'll Love Working Here:

Amazing work/life balance
Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
401(K) Plan with Employer Matching
License & Tuition Reimbursements
Paid Time Off
Holiday Pay & Floating Holiday
Employee Perks and Discount Programs
Supportive environment to help you grow and succeed

Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced, committed healthcare providers that treat pain. Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC. 

Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.

8:00am - 5:00pm
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Learn more about this Employer on their Career Site

External Referral Coordinator, Temporary Role, Benefits Eligible