Referrals Coordinator

CommonSpirit Health•Silverdale, WA

About The Position

The Referrals Coordinator is the primary point of contact for patient transitions, supporting communication among healthcare providers, specialists, and insurance networks. The role manages the end-to-end referral process, maintains accurate electronic health records, and improves administrative workflows to support coordinated, patient-centered care. Daily work includes processing incoming and outgoing medical referrals, verifying insurance eligibility, obtaining prior authorizations, tracking referral status, following up with specialists, and communicating updates to patients and clinical staff. The position also involves data entry, handling high-volume scheduling requests, and ensuring documentation complies with HIPAA regulations and organizational policies.

Requirements

  • Successful completion of accredited medical terminology course(s), or equivalent on-the-job training.
  • Two years of progressively responsible work experience in patient scheduling or registration, insurance verification, financial counseling, or a related function.
  • Strong background in medical administration or healthcare coordination.
  • Understanding of medical terminology and insurance billing processes.
  • Proficiency in EHR software.
  • Strong analytical skills for resolving authorization hurdles.
  • Exceptional multitasking ability and attention to detail.
  • Ability to thrive in a fast-paced clinical environment.

Responsibilities

  • Process referral orders and pre-authorizations.
  • Coordinate appointments and ancillary services.
  • Respond to patient questions about routine billing and insurance matters.
  • Coordinate patient instructional and educational activities relevant to referrals.
  • Coordinate the purchase of materials or rental of medical equipment relevant to referrals.
  • Facilitate timely processing of incoming and outgoing medical referrals.
  • Verify insurance eligibility and obtain prior authorizations.
  • Monitor referral tracking systems and follow up with specialists.
  • Communicate referral updates to patients and clinical staff.
  • Perform data entry and manage high-volume scheduling requests.
  • Maintain referral documentation in compliance with HIPAA regulations and organizational policies.
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