Coordinator-Referral and Authorizations - Radiation Oncology - FT - Days - MHW

Memorial Healthcare

2d•Onsite

About The Position

The Referrals and Authorizations Coordinator secures prior authorizations and primary care referrals for both professional and hospital technical services across inpatient and outpatient care, including surgeries, procedures, and specialist visits. This role facilitates timely access to care, minimizes treatment delays, and supports accurate reimbursement through payer compliance.

Requirements

High School Diploma or Equivalent (Required)
Knowledge of medical terminology, and insurance authorization processes.
Familiarity with payer portals, EMR systems, and healthcare billing systems.
Strong interpersonal and communication skills with attention to detail.
Ability to manage multiple tasks in a fast-paced environment.
A minimum of two (2) years’ experience in medical practice, preferably in a setting with authorization experience.

Nice To Haves

Associate’s degree preferred.

Responsibilities

May schedule walk-in appointments for services offered.
May confirm physician and prescription orders ensuring accuracy.
Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.
May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.
Explains polices including all regulatory and financial consent forms; secures all required signatures.
Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active.
Determines correct insurance filing order, if multiple insurance coverages are effective for that service.
Obtains pre-certification and authorization.
Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner.
May guide the patient to appropriate destination for services.
Collects patient out-of-pocket responsibility per collection guidelines.
Provides patient estimates as requested.
Prepares and balances a daily deposit of all payment collections.