Referral Coordinator

Job Description

Posted Thursday, December 4, 2025 at 3:00 PM

Health Care Excellence for Maui since 1961 - The leading provider of quality health care for the residents and visitors of Maui as measured by:

• patient satisfaction
• patient outcomes
• staff employment satisfaction

Position Title:

Referral Coordinator

Department:
Patient Services

The Referral Coordinator is our lead staff member responsible for receiving referral authorization requests from providers’ offices and obtaining from insurance companies the required authorizations and precertification based on current insurance guidelines. Coordinates and ensures information between the providers’ offices and insurance companies are accurate. Tracks referrals for timely completion.

• Receive and coordinate referral authorization requests from providers’ offices; verify accuracy and completeness of referral requests.
• Submit referrals to insurance companies for authorizations and precertification; track and follow up with referral requests for timely completion; record and forward approved or denied requests to providers’ office.
• Work collaboratively with MMG leadership to direct referrals to preferred provider when appropriate.
• Review and implement insurance guidelines and educate staff as needed.
• Record, analyze, and report statistical data for referral tracking system.
• Correspond with all parties involved, including outside physicians, insurance companies, and nursing personnel, to complete referrals/authorizations.
• Perform additional responsibilities as assigned.
• Demonstrate quality work, complete assignments on a timely basis, and make decisions within limits of authority; take initiative in problem solving, maintain confidentiality of patient and company information, and interact with patients, co-workers, and management with courtesy and respect.
• Adhere to all company policies and procedures.
• Maintain attendance standards consistent with company policy.

• High school diploma or equivalent with at least 2 years of medical experience in healthcare insurance administration.
• Working knowledge of medical and/or healthcare insurance terminology.
• Ability to manage multiple tasks simultaneously and work overtime as needed.
• Computer literacy (EMR, referral tracking system, Excel, Microsoft Word, etc.).
• Ability to supervise department staff members.

• Effective written and verbal communication skills.

Personal computer, fax, telephone, copier, scanner.

Requires walking (15%) and prolonged periods of sitting (85%). Lifts up to 25 lbs. Requires manual dexterity sufficient to operate a keyboard and other office equipment. Vision must be correctable to 20/20, and hearing must be in the normal range for telephone contacts.

Starting @ $19.01; based on experience.

Maui Medical Group is an equal employment opportunity/affirmative action employer. We actively seek diversity among our employees. We do not discriminate on the basis of age, race, color, religion, sex/gender (including gender identity/expression), ancestry/national origin, disability, marital status, arrest and court record, sexual orientation, pregnancy, veteran status, genetic information, domestic or sexual violence victim status, or other protected categories in accordance with state and federal laws.

We further encourage individuals with disabilities, minorities, and veterans to apply.