Referral Coordinator | Onsite | Alabang | Up to PHP35K | Day 1 HMO

Because Care Begins with Balance

Caring for others starts with caring for yourself. Here, your healthcare expertise thrives in an environment that respects your time and well-being. Enjoy fixed weekends off with a stabl;e career and a supportive team that values balance as much as compassion-so you can give your best at work and still have time for what matters most.

Job Description

As a Referral Coordinator, you will manage prior authorization and referral processes to ensure seamless patient care. You'll collaborate with providers, insurance partners, and internal teams to verify details, secure approvals, and maintain accurate records-all while supporting patients with empathy and precision.

Job Overview

Employment type: Full-time

Shift: Night shift, Weekends Off

Work setup: Onsite, Alabang

Salary: PHP 30, PHP 35,

Exciting Perks Await

• Day 1 HMO coverage with free dependent
• Competitive salary package
• Night differential pay to maximize your earnings
• Prime office location in Alabang (Conveniently accessible by PUVs, restaurants, and banks)
• Fixed weekends off
• Salary Advance Program through our banking partner (Eligibility and approval subject to bank assessment. Available to account holders with minimum of 6 months company tenure.)
• Unlimited upskilling through Emapta Academy courses (Want to know more? Visit )
• Exclusive Emapta Lifestyle perks (hotel and restaurant discounts, and more)
• Unlimited opportunities for employee referral incentives across the organization
• Standard government and Emapta benefits
• Total of 20 annual leaves to be used on your own discretion (including 5 credits convertible to cash)
• Fun engagement activities for employees
• Mentorship and exposure to global leaders and teams
• Career growth opportunities
• Diverse and supportive work environment

The Qualifications We Seek

• At least 1 year of relevant experience in a healthcare or referral coordination role

Your Daily Tasks

• Review and evaluate prior authorization requests for completeness and accuracy
• Review and verify patient insurance information
• Communicate with healthcare providers and internal staff to gather necessary documentation for prior authorizations
• Liaise with insurance companies to submit and track authorization requests
• Monitor and follow up on pending authorizations, ensuring timely resolution
• Stay informed about changes in insurance policies and authorization requirements
• Maintain accurate and detailed records of prior authorization requests, approvals, and denials
• Review and resolve denied authorization requests
• Provide excellent customer service to internal and external callers
• Conduct confirmation calls for the next clinic day
• Schedule injections and follow-ups
• Search for and upload missing imaging to the Ambra Imaging Portal
• Send referrals for coding and check for authorizations for scheduled patients
• Utilize the Electronic Medical Records (EMR) system to enter patient data
• Create spreadsheets for all sent-out procedure requests per doctor
• Submit or request authorization for any treatment recommended to the patient's attorney
• Work on jellybeans (EMH Messages and Orders)
• Check telephone encounters routinely for medication or urgent issues
• Manage medical liens between patients and attorneys
• Check voicemails/emails continuously and respond promptly
• Notify the Personal Injury Administrator once procedures are approved for scheduling
• Communicate with the Philippines and US teams to address queries and updates
• Contact pharmacies for post-op patients
• Drop no-shows and create telephone encounters to bill for them
• Electronically fax completed visit notes, referrals, and authorization requests to appropriate parties
• Track procedure notes for all outside facility procedures
• Take medical history from patients

About the Client

Where Care Meets Coordination

Our client, Neurospine Institute, is a trusted U.S.-based healthcare provider dedicated to improving patient outcomes through exceptional clinical coordination. Known for their compassionate approach and commitment to efficiency, they ensure every patient receives the highest standard of care. Their culture values teamwork, precision, and empathy - creating a space where healthcare professionals thrive with purpose.

Welcome to Emapta Philippines

Join a team that values camaraderie, excellence, and growth. Recognized as one of the Top 20 Dream Companies of Filipinos in 2024, Emapta stands proudly alongside industry giants, offering stability and exciting career opportunities. Your career flourishes here with competitive compensation, international clients, and a work culture focused on collaboration and innovation. Work with global clients across industries, supported by a stable foundation and like-minded professionals passionate about making an impact. We empower your success with opportunities for personal and professional development in an inclusive environment. Apply now and be part of the #EmaptaEra