Shift Schedule: 8AM-5PM PST, Monday through Friday 

• Receive and review incoming referrals (fax, electronic, portal, or direct provider communication)
• Verify referral completeness, including:
  • Diagnosis and reason for referral
  • Referring provider information
  • Supporting clinical notes, imaging, and reports
• Identify missing or incorrect information and follow up with referring offices promptly
• Enter and track referrals accurately in eClinicalWorks (eCW)

• Verify insurance eligibility and benefits related to pain management services
• Determine if prior authorization is required based on payer and procedure type
• Initiate authorization requests and track approval status
• Communicate authorization requirements and updates to patients and providers
• Document all authorization activity in eCW

• Contact new patients to explain the referral process and next steps
• Schedule new patient appointments according to provider protocols and referral type
• Ensure appointments are scheduled only after all referral and authorization requirements are met
• Provide clear instructions to patients regarding appointment expectations, required documentation, and arrival times
• Maintain professional, compassionate, and clear communication at all times

• Maintain accurate and up-to-date referral records in eClinicalWorks
• Upload and properly index all referral documents, imaging, and reports
• Ensure referrals are linked to the correct appointment and provider
• Add internal notes and referral status updates for team visibility

• Ensure all referral processing complies with HIPAA and clinic policies
• Maintain confidentiality of patient health information at all times
• Follow pain management-specific referral guidelines and documentation requirements
• Assist with audits by ensuring referral documentation is complete and organized

• Collaborate with providers, medical assistants, billing, and front desk staff
• Communicate delays, issues, or trends affecting referral flow
• Support clinic productivity by ensuring referral backlogs are minimized
• Assist with additional administrative tasks as assigned

• High school diploma or equivalent (required)
• Minimum 1 year of healthcare administrative or referral experience (pain management preferred)
• Experience working with eClinicalWorks (eCW) strongly preferred
• Knowledge of medical terminology related to pain management
• Familiarity with insurance verification and prior authorization processes

• Prior experience in a pain management, orthopedic, neurology, or specialty clinic
• Understanding of imaging requirements (MRI, CT, X-ray) for pain management referrals
• Bilingual (English/Spanish) a plus

• Strong attention to detail and organizational skills
• Excellent verbal and written communication
• Ability to manage high referral volume in a fast-paced environment
• Strong follow-up and problem-solving skills
• Professional, empathetic, and patient-focused demeanor
• Proficient computer skills and EMR navigation

• Referral processing turnaround time
• Percentage of complete referrals at scheduling
• Authorization approval rates and timeliness
• New patient appointment conversion rate
• Referral backlog volume
• Accuracy of documentation in eCW

• Fast-paced pain management clinic
• Frequent phone, fax, and EMR use
• Close coordination with clinical and billing teams

Independent Contractor Perks

• HMO coverage for eligible locations
• Permanent work from home
• Immediate hiring
• Steady freelance job