Patient Referral & Authorization Specialist

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

Job summary

Astrana Health, Inc. is hiring a Referral Coordinator in Las Vegas to assist patients requiring specialty care referrals. You will submit prior authorizations and referrals via insurance portals, send referrals to specialists, and follow up to ensure patients are seen.

Responsibilities include handling calls, documenting referrals, and ensuring compliance with coverage guidelines. Strong communication and data-entry skills are essential for success in this on-site role at our Las Vegas office.

Qualifications

• High school diploma or equivalent.
• 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 patients.
• Provide courteous customer service to patients regarding referral requests.
• Request consult notes from other providers as needed.
• Respond to all patient inquiries concerning referrals.
• Communicate with insurance companies to ensure requests adhere to coverage guidelines.
• 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

Verbal Communication

Written Communication

Data Entry

Typing

Education

High School Diploma

Tools

Microsoft Office

Insurance Eligibility Database

Job description

Astrana Health, Inc. is hiring a Referral Coordinator in Las Vegas to assist patients requiring specialty care referrals. You will submit prior authorizations and referrals via insurance portals, send referrals to specialists, and follow up to ensure patients are seen.

Responsibilities include handling calls, documenting referrals, and ensuring compliance with coverage guidelines. Strong communication and data-entry skills are essential for success in this on-site role at our Las Vegas office.