Referral Coordinator

Kindred Healthcare•Lewiston, ID

About The Position

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Referral Coordinator ensures that all referral and prior authorization processes are completed accurately and efficiently to support patient access, clinical care coordination, and financial sustainability. This position serves as a liaison between patients, providers, payers, and internal departments to facilitate timely service delivery while maintaining regulatory compliance and excellent customer service.

Requirements

Familiarity with ICD-10, CPT, and HCPC coding standards
Basic proficiency in Microsoft Outlook, Word, Excel, and electronic health record systems
Strong customer service and communication skills across phone, email, and in-person interactions
Ability to document clearly and accurately using correct terminology and approved acronyms
Ability to manage time effectively, multitask, and respond to urgent requests
Understanding of HIPAA and confidentiality practices
Frequent sitting, computer use, and telephone communication
Ability to remain stationary for extended periods (up to 80%25)
Occasional movement between on-site and off-site locations as needed
Primarily indoor office environment with frequent interaction with the public
Minimal exposure to biohazards and office-related chemicals
Occasional travel between hospital and off-campus sites; appropriate attire required
High school diploma or equivalent required
Minimum of 1 year in a healthcare environment performing relevant duties required

Nice To Haves

Medical coding or billing certification preferred
Experience in referral coordination, medical office operations, or health insurance authorization preferred

Responsibilities

Submits and monitors prior authorizations and referral requests through payer portals, fax, or phone
Ensures complete and accurate documentation, including provider/payer details, CPT/HCPC/ICD-10 codes, visit counts, and authorization numbers
Verifies patient insurance eligibility and benefits using payer systems and EMR tools
Communicates with providers, schedulers, and patients regarding authorization status and medical necessity concerns
Documents all referral and authorization activity in the electronic medical record per departmental protocols
Assists in appeals or follow-up on denied authorizations and incomplete submissions
Maintains knowledge of payer-specific guidelines, policies, and submission processes
Provides courteous and compassionate service to patients and their families; engages calmly and confidently to reduce anxiety
Supports scheduling, coverage, and workflow optimization across fluctuating patient volumes
Ensures use of appropriate PPE and compliance with hospital safety and emergency procedures