Referral Coordinator - Surgical Procedures

Prosser Memorial Health•Prosser, WA

7d•$21 - $31•Onsite

About The Position

The Referral Coordinator is responsible for managing insurance benefits and obtaining prior authorizations for outgoing specialist visits, procedures, and testing. This role also ensures that all incoming referrals for office visits, procedures, and testing are authorized and scheduled. Key responsibilities include appointment coordination, patient communication, and patient registration. The coordinator will collaborate with other departments and/or organizations to ensure all necessary patient information is exchanged, preferably in electronic format. Additionally, the role involves monitoring patient referrals for loop closure, tracking appointment attendance, and confirming the receipt or sending of consultation notes.

Requirements

High school diploma or GED.
One-year medical experience with exposure to insurance verification or referral authorization fundamentals.
Knowledge of medical terminology, CPT & ICD codes.
Ability to communicate effectively, both written and orally.
Ability to handle patient and organizational information in a confidential manner.
Ability to work in an environment of continuous change.
Ability to manage priorities and work under deadlines.

Responsibilities

Checking insurance benefits and obtaining prior authorizations for outgoing specialist visits, procedures, and testing.
Ensuring all incoming referrals for office visits, procedures, and testing have been authorized and scheduled.
Appointment coordination.
Patient communication.
Registering patients.
Working with other departments and/or organizations to assure all necessary patient information is provided and/or obtained, and in electronic format whenever possible.
Ensuring all patient referrals are monitored for loop closure.
Determining if patients attended appointments.
Confirming consultation notes have been received or sent.