Referral Coordinator - Virtual/Remote

MultiCare Health SystemYakima, WA
2d$23 - $33Remote

About The Position

Referral Coordinator Position Overview 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.

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

  • comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off
  • Competitive tuition assistance
  • Award-winning residencies, fellowships and career development to invest in your future
  • Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life
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