Care Access Coordinator: Referrals & Pre-Auths

Wayne State University Physician Group; Detroit (MI); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Wayne Health in Detroit, MI is seeking a Referral & Authorization Coordinator to manage referrals, pre-authorizations, and scheduling for imaging and labs. The role emphasizes patient-centric service, accurate coding, and coordination with insurance carriers and providers.

The position requires a High School Diploma or equivalent and 2–3 years in medical prior authorization or billing, with strong knowledge of ICD10/CPT codes and MS Office tools.

Qualifications

• High school diploma or equivalent required.
• 2–3 years in insurance, medical prior authorization, billing, or physician office experience.
• Working knowledge of ICD10 and CPT codes.
• Proficiency in Outlook, Teams, Word and Excel.

Responsibilities

• Process referrals and obtain prior authorizations as needed.
• Verify patient insurance eligibility and benefits.
• Schedule imaging and diagnostic appointments.
• Update patient records and communicate with providers.
• Respond to patient calls and inquiries; provide excellent service.

Skills

ICD10/CPT codes

MS Outlook/Teams/Office

Medical terminology

Typing 35 wpm

Communication skills

Customer service

Attention to detail

Team collaboration

Problem-solving

Education

High School Diploma or equivalent

Tools

NextGen/Athena EHR

Job description

Wayne Health in Detroit, MI is seeking a Referral & Authorization Coordinator to manage referrals, pre-authorizations, and scheduling for imaging and labs. The role emphasizes patient-centric service, accurate coding, and coordination with insurance carriers and providers.

The position requires a High School Diploma or equivalent and 2–3 years in medical prior authorization or billing, with strong knowledge of ICD10/CPT codes and MS Office tools.