Coordinator-Referral & Surgery

Loma Linda University Health; Loma Linda (AZ); On-site; USD 36,000 - 48,000; Full time

Job summary

Loma Linda University Health in Arizona provides a Coordinator-Referral & Surgery role focused on managing and coordinating patient authorization processes. You ensure referrals are complete, handle pre-certifications for ancillary testing, and support front office staff with insurance issues in a confidential, professional manner.

The position emphasizes accuracy, workload management, and teamwork with training responsibilities for staff and a commitment to high-quality patient service.

Qualifications

• High School Diploma or GED required.
• One year front office experience required.
• Clinical office experience preferred.
• Knowledge of insurance types and their guidelines, including reading EOBs.
• Knowledge of ICD and CPT coding systems; Epic experience preferred.
• Able to keyboard 40 wpm; proficient with Word/Excel/Outlook/PowerPoint.

Responsibilities

• Manage and coordinate the authorization process for services requiring approval.
• Ensure referrals from providers are complete with necessary information.
• Process pre-certifications for ancillary testing as required.
• Assist in directing front office personnel and monitor productivity.
• Provide training to clinical staff on insurance issues and referrals.
• Maintain confidentiality and deliver high-quality service to patients.

Skills

Detail orientation

Multi-tasking

Communication under pressure

Team collaboration

Education

High School Diploma or GED

Tools

Epic

Excel

Outlook

Word

PowerPoint

Job description

Department: UHC: Surgery - Shared 2

Job Summary: Coordinator-Referral & Surgery manages and coordinates the authorization process for patients of all reimbursement types for any services requiring such authorization. Ensures all referrals received from providers are complete with necessary information to facilitate authorization process. Processes pre-certifications for ancillary testing as required. Assists in directing front office personnel, performing various functions, monitoring productivity, emphasizing completeness, accuracy and concern for the patient. Provides assistance and training to clinical office staff with insurance issues and assists patients with referral and insurance related issues. All activities must be conducted in a highly confidential, professional and personable manner. Provides high quality service to all customers. Performs other duties as needed.
Education and Experience: High School Diploma or GED required. One year front office experience required. Clinical office experience preferred.
Knowledge and Skills: Current working knowledge of all insurance types and their guidelines, including the ability to read and interpret EOB's. Working knowledge of current ICD and CPT coding systems required. Knowledge of Epic system preferred. Able to keyboard 40 wpm. Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/ troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure; collaborate and accept direction. Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Valid Driver's License at time of hire.

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.