Referral and Authorization Coordinator, Urology

Jobtailor; Greenbrae Boardwalk (CA); On-site; USD 42,000 - 64,000; Full time

Job summary

Jobtailor is seeking a health‑care administration support role in California to obtain patient referrals and prior authorizations, while ensuring accurate scheduling and compliant processing.

The successful candidate will collaborate with clinic staff, coordinate with health plans, and assist patients through secure communications, with emphasis on data integrity and confidentiality.

Qualifications

• High school diploma or GED required.
• 2 years of experience in a health care setting preferred.
• 2 years of experience with insurance prior authorizations, referrals and EHRs preferred.
• Knowledge of medical terminology, CPT, HCPCS, and ICD-9 coding.
• Ability to exercise discretion and make independent judgments.

Responsibilities

• Provide medical administration support by obtaining patient referrals and prior authorizations.
• Serve as a resource to providers, clinic leaders, and Patient Access regarding referral and authorization processes.
• Process referral requests and obtain necessary authorizations in compliance with the Referral Management Program.
• Collaborate with physician office staff to ensure accurate, timely referral handling and appropriate appointment scheduling.
• Coordinate authorization and referral requests with health plans, payer representatives, and contracted providers.
• Communicate with patients through secure messaging, telephone, or written correspondence throughout the referral process.
• Support work queue items, referral processing, registration, and insurance verification.
• Maintain collaborative relationships with providers and Patient Access staff to ensure smooth record flow and high-quality services.
• Arrange and maintain medical records for proper order, retrieval, confidentiality, and security.
• Support HIM by scanning lab results, hospitalization and discharge forms, and other patient or appointment documents.
• Meet quality standards and complete work in a timely manner.
• Support implementation of programs, policies, initiatives, and tools.
• Contribute to continuous improvement of Patient Access processes.
• Learn new processes, concepts, and skills and respond to performance feedback.
• Perform revenue cycle tasks supporting compliance and exceptional customer service.
• Authenticate patient identity throughout all processes.
• Provide directional support to patients and family members as needed.
• Perform other duties as assigned

Skills

Patient Referral Management

Prior Authorization Processing

Electronic Health Records (EHR)

Medical Terminology Knowledge

Microsoft Office Proficiency

Verbal Communication

Active Listening

Education

High School Diploma

GED

Tools

Epic

APeX

Microsoft Excel

Microsoft Word

Telephone Consoles

Job description

• Provide medical administration support to providers by obtaining patient referrals and prior authorizations for specialty care
• Serve as a resource to providers, clinic leaders, and Patient Access regarding referral and authorization processes
• Process referral requests and obtain necessary authorizations in compliance with the Referral Management Program
• Collaborate with physician office staff to ensure accurate, timely referral handling and appropriate appointment scheduling
• Coordinate authorization and referral requests with health plans, payer representatives, and contracted providers
• Communicate with patients through secure messaging, telephone, or written correspondence throughout the referral process
• Support work queue items, referral processing, registration, and insurance verification
• Maintain collaborative relationships with providers and Patient Access staff to ensure smooth record flow and high-quality services
• Arrange and maintain medical records for proper order, retrieval, confidentiality, and security
• Support HIM by scanning lab results, hospitalization and discharge forms, and other patient or appointment documents
• Meet quality standards and complete work in a timely manner
• Support implementation of programs, policies, initiatives, and tools
• Contribute to continuous improvement of Patient Access processes
• Learn new processes, concepts, and skills and respond to performance feedback
• Perform revenue cycle tasks supporting compliance and exceptional customer service
• Authenticate patient identity throughout all processes
• Provide directional support to patients and family members as needed
• Perform other duties as assigned

Requirements

• High school diploma or General Educational Development (GED) certificate required
• 2 years of experience working in a health care setting preferred
• 2 years of experience working with insurance prior authorizations, referrals and electronic health records preferred
• Knowledge of medical terminology, anatomy, CPT, HCPCS, and ICD-9 coding
• Ability to exercise discretion and make independent judgments
• Knowledge of Microsoft Office programs including Excel and Word or similar programs
• Epic and/or APeX experience preferred
• General knowledge of patient access, financial counseling, and ambulatory settings
• Working knowledge of insurance and medical terminology
• Knowledge of EMTALA and Consent Laws
• Time management and ability to manage frequent in-person patient contacts while maintaining and documenting data in patient registration systems
• Ability to work in multiple computer systems, including patient registration/accounting systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites, and data quality monitoring
• Verbal and written communication and active listening skills
• Organizational skills with attention to detail and follow-up
• Decision-making and problem-solving skills
• Ability to work concurrently on a variety of tasks/projects in a diverse environment
• Ability to meet or exceed targeted customer service, productivity, and quality standards
• Computer proficiency
• Ability to maintain confidential information
• Must receive required measles, mumps, varicella, and annual influenza immunizations as a condition of employment

Core Competencies

Demonstrates expertise in medical administration support, including patient referrals, prior authorizations, and compliance with healthcare regulations. Proficient in managing patient access processes, maintaining confidentiality, and delivering exceptional customer service in a healthcare setting.

Highest-signal resume keywords

• Patient Referral Management
• Prior Authorization Processing
• Electronic Health Records (EHR)
• Medical Terminology Knowledge
• Microsoft Office Proficiency

Hard Skills

• Referral Processing
• Insurance Verification
• CPT Coding
• ICD-9 Coding
• Data Management
• Patient Registration Systems
• Document Imaging
• Revenue Cycle Tasks
• Time Management
• Confidentiality Maintenance

Soft Skills

• Verbal Communication
• Written Communication
• Active Listening
• Organizational Skills
• Problem-Solving

Certifications & Qualifications

• High School Diploma
• General Educational Development (GED)

Industry Keywords

• Patient Access
• Healthcare Setting
• EMTALA
• Consent Laws
• Ambulatory Settings

Tools & Technologies

• Epic
• APeX
• Microsoft Excel
• Microsoft Word
• Telephone Consoles