Referral & Authorization Specialist

MarinHealth; Greenbrae Boardwalk (CA); On-site; USD 30,000 - 47,000; Full time

Job summary

MarinHealth in Greenbrae, CA is seeking a Referral and Authorizations Coordinator to support providers by securing referrals and prior authorizations for specialty care. You will collaborate with physician offices, payer representatives, and the Patient Access team to ensure timely, accurate referrals.

Ideal candidates have at least 2 years in healthcare, familiarity with CPT/HCPCS/ICD coding, and experience with Epic/APeX or similar EHR systems.

Qualifications

• High school diploma or GED required.
• Minimum 2 years of experience in a health care setting.
• Experience with insurance prior authorizations and referrals.
• Knowledge of CPT/HCPCS/ICD-9 coding.
• Proficient with Microsoft Office; Excel.
• Ability to maintain confidentiality and HIPAA compliance.

Responsibilities

• Process referrals and obtain necessary authorizations.
• Collaborate with physician office staff for timely referrals.
• Coordinate with payer representatives and health plans.
• Communicate with patients via secure messaging, phone, or written correspondence.
• Support registration and insurance verification activities.

Skills

Medical terminology

Attention to detail

Active listening

Communication skills

Time management

Education

High school diploma or GED

Tools

Excel

EPIC

APeX

EHR systems

Job description

MarinHealth in Greenbrae, CA is seeking a Referral and Authorizations Coordinator to support providers by securing referrals and prior authorizations for specialty care. You will collaborate with physician offices, payer representatives, and the Patient Access team to ensure timely, accurate referrals.

Ideal candidates have at least 2 years in healthcare, familiarity with CPT/HCPCS/ICD coding, and experience with Epic/APeX or similar EHR systems.