Patient Referral & Authorization Specialist

Astrana Health; Nevada; On-site; USD 28,000 - 32,000; Full time

Job summary

Astrana Health in Las Vegas, NV is seeking a dependable Referral Coordinator to support patients needing specialty referrals. You will submit prior authorizations and referrals through insurer portals, send referrals to specialists, and follow up to ensure appointments are scheduled.

The role requires handling calls, verifying patient needs, managing referrals, and maintaining accurate patient records while ensuring compliant interactions with insurers and care teams.

Qualifications

• High school diploma or equivalent required.
• At least 1 year of Call Center Experience.
• Experience with Medical Terminology.
• Strong verbal and written communication skills; must be able to communicate in a professional and courteous manner.
• Proficient in Microsoft Office applications and insurance eligibility database.
• Excellent data entry and typing skills.

Responsibilities

• Handle incoming calls efficiently.
• Identify patients’ needs, clarify information, submit referrals via insurance portals, fax referrals and follow up with the patient.
• Provide courteous customer service to patients regarding referral requests.
• Request consult notes from other providers as needed.
• Respond to all patient inquiries concerning their referrals.
• Communicate with insurance companies to ensure all requests adhere to guidelines of coverage.
• Track referrals and provide follow-up as needed.
• Document all referral activities on patient files for future reference.
• Maintain accurate and organized patient file documentation.
• Process Prior Authorization for Medications, Injections, Biologics.

Skills

Call Center Experience

Medical Terminology

Communication Skills

Microsoft Office

Data Entry

Typing

Education

High school diploma or equivalent

Tools

E Clinical Works

Job description

Astrana Health in Las Vegas, NV is seeking a dependable Referral Coordinator to support patients needing specialty referrals. You will submit prior authorizations and referrals through insurer portals, send referrals to specialists, and follow up to ensure appointments are scheduled.

The role requires handling calls, verifying patient needs, managing referrals, and maintaining accurate patient records while ensuring compliant interactions with insurers and care teams.