Imaging Referrals & Prior Authorization Specialist

University of Rochester; Oregon; Hybrid; USD 28,000 - 38,000; Full time

Job summary

University of Rochester is seeking a Referral Coordinator to manage department referrals, coordinate appointments, and advocate for patients. The role includes obtaining insurance authorization, attaching referral records in the EMR, and supporting complex prior authorizations for imaging or procedures.

You will handle incoming and outgoing referrals, monitor patient compliance, and coordinate with providers and care teams to ensure timely scheduling and accurate record-keeping.

Qualifications

• High School diploma or equivalent and 2 years of relevant experience.
• Knowledge of medical terminology and scheduling software is preferred.
• Experience with electronic medical records is preferred.

Responsibilities

• Manage department referrals and coordinate appointments between offices, specialists, and patients.
• Obtain insurance authorization for visits and attach referrals to patient records.
• Prepare complex prior authorizations for imaging, procedures, or tests.
• Manage orders for patients in ED/Urgent Care and prioritize urgent referrals.
• Process incoming and outgoing referrals and ensure Proper documentation in EMR.
• Perform additional duties as assigned.

Skills

Data analysis

Referral coordination

Patient advocacy

Insurance authorization

EMR systems

Communication skills

Education

High School diploma

Equivalent education/experience

Tools

Epic EMR

Scheduling software

ICD/CPT knowledge

Job description

University of Rochester is seeking a Referral Coordinator to manage department referrals, coordinate appointments, and advocate for patients. The role includes obtaining insurance authorization, attaching referral records in the EMR, and supporting complex prior authorizations for imaging or procedures.

You will handle incoming and outgoing referrals, monitor patient compliance, and coordinate with providers and care teams to ensure timely scheduling and accurate record-keeping.