Express Scripts Prior Authorization Jobs in North Carolina

PartnerCare, an affiliate of Comprehensive Pain Consultants, is seeking a talented and compassionate Referral Coordinator- Inbound to join our exceptional team. We offer competitive wages, benefits that protect you and your family, and a 401(k) plan with a match to help you prepare for your future. We are also dedicated to building the work environment where our people grow and thrive. We want you to be a fan of where you work!

Our practice focuses on taking care of the patient with a comprehensive plan, delivering high customer service, keeping patients safe and well-informed and reducing patients' pain as much as possible. 

We are committed to the betterment of our communities by providing comprehensive pain management care led by interventional pain specialists so that our patients can live their best functional lives. Our team of physicians, nurses, anesthesiologists, and staff are dedicated to ensuring that patients can improve their quality of life with pain relief that involves the use of cutting-edge technology.

We believe we will be successful in our mission by living by a set of values we hold in high regard that drive what we do every day. The values we believe in and that you can count on are:

• Compassion. We genuinely care for the well-being of our patients and each other and are committed to supporting each other with kindness and compassion. 
• Accountability. We are dedicated to providing the highest standards of care and being accessible to our patients and each other with integrity and professionalism.
• Respect.  We treat every individual with dignity and foster an environment of diversity, collaboration, and respect ensuring that everyone feels valued and heard.
• Excellence. We strive for excellence in delivering the best outcomes for our patients and creating a fulfilling work environment that provides opportunities for growth and career advancement. 

Together, we will be the most trusted source for pain management care. Our organization will grow rapidly, and we will maintain a culture of high performance.

Success will be the result of the team.

The Referral Coordinator – Inbound is responsible for reviewing and processing incoming referrals from external providers to ensure timely access to care, primarily for new patients as well as occasionally for existing patients. This role is critical in initiating the patient care journey, working closely with referring offices, clinical teams, and patients to verify information, obtain past medical records and imaging, and schedule new patient appointments.

KEY RESPONSIBILITIES:

REFERRAL INTAKE & DOCUMENTATION

• Receive and process inbound referrals from external providers via eFax, EMR, phone, email, or third-party platforms.
• Review referral documents for completeness and accuracy, including diagnosis, insurance, and provider information.
• Input referral data into the EMR (e.g., eClinicalWorks), create patient’s chart, and promptly reach out to schedule.
• Monitor open referrals, making repeated contact attempts to patient over several days via call and text until scheduled.
• Track reasons referrals are not scheduled within the EMR and provide updates back to referring provider partners.
• Field incoming calls from referral sources, referred new patients, and self-referrals to coordinate scheduling process.
• Screen self-referrals (patients who found us online or through word-of-mouth) to understand their condition and past treatment history based on our patient criteria and defined screening scripts prior to scheduling.

PATIENT SUPPORT

• Contact patients to inform them of appointment details, pre-visit instructions, and next steps.
• Provide guidance on navigating referred services (e.g., imaging centers, specialists).
• Address patient questions and coordinate logistics to minimize delays.

COMMUNICATION & COLLABORATION

• Liaise with external offices and provider groups to ensure seamless referral handoffs.
• Partner with clinical teams to confirm the accuracy of referral orders and urgency.
• Escalate any issues or delays to appropriate clinical or administrative staff.

The right person for this role will delight in providing a great experience to the patient, will have a curious mind that always looks for a way to improve, and be compassionate for patients experiencing chronic and/or acute pain. To be successful in this role, the person will be a great team member, working together with others, kind and friendly, open to feedback for growth, and a role model of our values.

PROFESSIONAL QUALIFICATIONS:

• High school diploma or equivalent required; associate degree or healthcare training a plus.
• 1–2 years of experience in a healthcare referral, scheduling, or front office coordination role.
• Working knowledge of insurance requirements and prior authorization protocols.
• Strong communication, customer service, and organizational skills.
• Experience with electronic medical records (eCW preferred).
• Ability to multitask while maintaining accuracy and attention to detail.

We prefer at least two years of experience but are willing to train newer teammates with the right focus on patient care, service, and teamwork.

If this sounds like you, wed love the opportunity to talk with you further about joining the team!

About the Practice:- 

Comprehensive Pain Consultants of the Carolinas (CPC) was founded in 2009, and until 2017, was only providing outpatient contracted services in hospitals. In 2017, CPC opened its first freestanding clinic in Marion, NC. Today, CPC is the largest interventional pain management group in Western North Carolina, with three freestanding clinics featuring procedure rooms and six freestanding feeder clinics staffed by a midlevel provider. Across its freestanding clinic and hospital footprint, CPC’s primary patient services include diagnosis and treatment of chronic conditions, including neck and back pain, headaches and migraines, fibromyalgia, cancer pain, diabetic and joint pain, arthritis, neuropathic pain, sciatica, and complex regional pain syndrome. 

Comprehensive Pain Consultants of the Carolinas is an affiliate of PartnerCare, a leading provider of interventional pain management and musculoskeletal services headquartered in Tampa, FL. Across over 30 locations in Florida, Georgia, North Carolina, Mississippi, and Tennessee, PartnerCare provides comprehensive care to its patients, offering minimally invasive alternatives to surgery that address the root causes of patients’ pain and help them live their best lives possible

PartnerCare is an equal opportunity employer, dedicated to creating a workplace that is free of harassment and discrimination. We base our employment decisions solely on business needs, job requirements, and qualifications. We do not tolerate discrimination or bias based on race, color, creed, sex, sexual orientation, gender identity, age, religion, national origin, citizenship status, disability, marital status, veteran status, medical condition, or any protected category prohibited by local, state, or federal laws.

Please note: We kindly request that third-party recruiters or agencies do not contact us regarding this position. PartnerCare is not seeking external assistance and will not respond to unsolicited outreach or candidate submissions.

PROFESSIONAL QUALIFICATIONS:

• High school diploma or equivalent required; associate degree or healthcare training a plus.
• 1-2 years of experience in a healthcare referral, scheduling, or front office coordination role.
• Working knowledge of insurance requirements and prior authorization protocols.
• Strong communication, customer service, and organizational skills.
• Experience with electronic medical records (eCW preferred).
• Ability to multitask while maintaining accuracy and attention to detail.