What You'll Do

• Request prior authorizations from a variety of health plans for visits, procedures, and referrals.
• Monitor and track the status of patient referrals, following up with health plans as needed.
• Maintain accurate and detailed records of patient referrals, including referral forms and documentation of communication.
• Ensure compliance with documentation and data entry protocols.
• Verify patient insurance coverage.
• Provide regular updates to healthcare providers and management on referral trends and issues.
• Collaborate with healthcare providers and staff to identify opportunities for improving the referral process.
• Work with the Referral Department leadership on special projects and process improvements.
• Test and provide feedback on new technologies. 
• Be open-minded to process changes and new technologies.
• Ensure compliance with healthcare regulations, including HIPAA and relevant state and federal guidelines.
• Maintain confidentiality and security of patient information.

Who You Are

• High school diploma or equivalent.
• Knowledge of medical terminology, including CPT and ICD-10 codes.
• At least 4 years of experience as a Referral Coordinator in any specialty.
• Strong collaborator with a positive, team-focused mindset.
• Enthusiastic about contributing to a supportive and team-oriented culture.