Discover your 100% YOU with MicroSourcing!
Position: Outgoing Clinical Referral Specialist
Location: Eastwood, Libis, Quezon City
Work setup & shift: Onsite, Night shift
Why join MicroSourcing
You'll Have
- Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses.
- A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
- Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
- Career Growth: Take advantage of opportunities for continuous learning and career advancement.
- Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.
Your Role: As an
Outgoing Clinical Referral Specialist, you will:
- Monitor the EMR and telephone encounters for internal provider-generated referrals.
- Review clinical documentation to ensure appropriate justification and completeness before processing referrals.
- Assign referrals to appropriate specialists based on insurance network status, patient preference, and provider recommendation.
- Submit referral authorization requests to insurance companies when required.
- Coordinate delivery of clinical notes, imaging, and any supporting documentation to the receiving specialist.
- Track referral status and follow up to confirm patient appointment scheduling with external offices.
- Manage communications between patients, providers, and external specialists to support continuity of care.
- Ensure timely documentation of all referral activities in the EMR system.
- Support special referrals such as DME, home health, sleep studies, and physical therapy requiring payer authorization or physician follow-up.
- Identify and escalate urgent or complex referrals to clinical leadership as necessary.
What You Need: Non-negotiables
- High school diploma or GED.
- 2+ years of healthcare experience with a focus on referral coordination or insurance processing.
- Deep understanding of HMO, PPO, and government payer authorization processes.
- Ability to navigate EMR systems and insurance portals efficiently.
- Strong interpersonal, multitasking, and problem-solving skills.
Preferred Skills/expertise
- Medical or administrative certification.
- Ability to work in a fast-paced environment and adapt to frequent changes in process and policy.
About MicroSourcing With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive. At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique, authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth.
Join us in celebrating YOU and your 100%! For more information, visit https://www.microsourcing.com/
