Referral Coordinator - Virtual/Remote
About The Position
The Referral Coordinator serves as a system-level liaison responsible for managing patient referrals across MultiCare Health System (MHS) clinics, specialties, and regions. This intermediate-level role ensures timely and accurate referral processing, financial clearance, and compliance with insurance guidelines. The Referral Coordinator is responsible for expediting the administrative requirements of patient referrals between participating providers and patient health plans. The incumbent acts as a resource regarding referrals and insurance plan guidelines. This role requires the ability to interpret medical guidelines, benefits, policies and procedures in order to ensure the efficient operations of patient health care services.
Requirements
- Minimum 2 years of customer service experience in healthcare or insurance
- Minimum 2 years of experience in referral coordination, prior authorizations, HIM scanning, registration, or scheduling
- Strong written communication and multitasking skills
- Ability to sit and work at a computer for extended periods
- High school graduate or equivalent preferred
- Two (2) years experience working in a medical setting or insurance company
Nice To Haves
- Experience in managed care desired
- Experience with CPT and ICD-9 coding, preferred
Responsibilities
- Coordinate, process, and redirect referrals across MHS
- Verify insurance eligibility and secure prior authorizations
- Ensure referrals are coded accurately with ICD and CPT codes
- Monitor timeliness of chart notes and results
- Obtain and scan clinical documentation into EMR
- Create/update patient accounts and registration details
- Communicate referral status to patients and providers
- Document all referral activity and communications
- Respond to inquiries from patients, providers, and insurance plans
- Advocate for patients and troubleshoot referral issues
- Collaborate with providers and support staff on authorization reviews
- Research eligibility and benefits; resolve claim denials
- Maintain reliable attendance per MHS policy
- Expedite administrative requirements and logistics
- Serve as a resource on referrals and insurance plan guidelines
- Apply discretion, good judgment, and professional communication to all work experiences
- Regularly utilize independent decision-making capacities and strong interpersonal skills
Benefits
- We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
