Referral and Authorization Coordinator - PRN

The CORE Institute; Phoenix (AZ); On-site; USD 27,552 - 41,328; Part time

Benefits offered by this job

Monthly $43 stipend for ancillary benefits

HSA with company match

401k plan with company match

Employee Assistance Program

Employee Appreciation Days

Employee Wellness Events

Job summary

A healthcare institution in Phoenix is seeking a part-time Referral and Authorization Coordinator to manage patient insurance verifications and referrals. The candidate should have prior healthcare experience, particularly with Managed Care Insurance, and be able to efficiently communicate with both patients and providers. Responsibilities include updating patient registration information, verifying insurance eligibility, and managing referral processes. This is a crucial role within a dynamic healthcare environment.

Qualifications

• In-depth knowledge of insurance plan requirements for Medicaid and commercial plans.
• Minimum two to three years of experience in a healthcare environment in a referral, front desk, or billing role.

Responsibilities

• Verifies and updates patient registration information.
• Obtains benefit verification and necessary authorizations prior to patient arrival.
• Creates appropriate referrals to attach to pending visits.

Skills

Healthcare experience with Managed Care Insurance

Effective communication

Working knowledge of Centricity Practice Management

Job description

Referral and Authorization Coordinator - PRN

Job Category: APP

Requisition Number: REFER011782

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• Posted : March 5, 2026
• Part-Time
• On-site

Locations

Showing 1 location

• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 6 months of service with company match (Part-time employees included)
• Employee Assistance Program that is available 24/7 to provide support
• Employee Appreciation Days
• Employee Wellness Events

Minimum Qualifications:

• Must have Healthcare experience with Managed Care Insurance, requesting Referrals, Authorizations for Insurance, and verifying Insurance benefits.
• In-depth knowledge of insurance plan requirements for Medicaid and commercial plans.
• Minimum two to three years of experience in a healthcare environment in a referral, front desk, or billing role. Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers. Working knowledge of Centricity Practice Management and Centricity EMR is a plus.

*note this is PRN and Part time, it is not a full time role*

Essential Functions

• Verifies and updates patient registration information in the practice management system.
• Obtains benefit verification and necessary authorizations (referrals, precertification) prior to patient arrival for all ambulatory visits, procedures, injections, and radiology services
• Uses online, web-based verification systems and reviews real-time eligibility responses to ensure the accuracy of insurance eligibility.
• Creates appropriate referrals to attach to pending visits.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Completes chart prepping tasks daily to ensure a smooth check-in process for the patient and clinic.
• Researches all information needed to complete the registration process including obtaining information from providers, ancillary services staff, and patients.
• Fax referral forms to providers that do not require any records to be sent. Be able to process 75-80 referrals on a daily basis. For primary specialty office visits, fax referral/authorization forms to PCPs and insurance companies in a timely fashion.
• Reviews and notifies front office staff of outstanding patient balances.
• Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
• Respond to In-house provider and support staff questions, requests, and concerns regarding the status of patient referrals, care coordination, or follow-up status.
• Identifies and communicates trends and/or potential issues to the management team.
• Index referrals to patients account for existing patients.
• Create new patient accounts for non-established patients to index referrals.
• The job holder must demonstrate current competencies for the job position.

Equal Opportunity Employer
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