Healthcare Referral & Authorization Coordinator

Sentara Health; Maryland; On-site; USD 45,000 - 68,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with employer match

Paid Time Off and Holidays

Tuition Assistance – $5,250/year

Job summary

Sentara Health in Hampton, VA is seeking a Referral Coordinator to manage referrals between patients, primary care and specialty providers, and insurers. The role includes coordinating referrals and obtaining pre-authorizations for medications and services, with emphasis on accurate medical terminology and familiarity with Medicare/Medicaid processes.

The position requires a high school diploma, knowledge of insurance verification, and EPIC proficiency.

Qualifications

• High School Diploma or equivalent is required.
• One year of experience with insurance verification/referral processing preferred.
• Knowledge of Medicare, Medicaid and third party payers.
• Medical terminology preferred.

Responsibilities

• Coordinate referral process from primary care providers and specialists.
• Handle pre-authorization approvals for drugs and other services as ordered by the provider.
• Serve as liaison between patients, providers, and insurance companies.

Skills

Medical terminology

Medicare/Medicaid knowledge

Insurance verification

Referral processing

Education

High School Diploma or equivalent

Tools

EPIC

Job description

Sentara Health in Hampton, VA is seeking a Referral Coordinator to manage referrals between patients, primary care and specialty providers, and insurers. The role includes coordinating referrals and obtaining pre-authorizations for medications and services, with emphasis on accurate medical terminology and familiarity with Medicare/Medicaid processes.

The position requires a high school diploma, knowledge of insurance verification, and EPIC proficiency.