Referral Coordinator

Proliance Surgeons, Inc.; Bellevue (WA); Hybrid; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a motivated individual to join their busy Orthopaedic and Sports Medicine practice. This role involves managing appointment scheduling, referrals, and prior authorizations, ensuring effective communication with patients and healthcare providers. The ideal candidate will thrive in a fast-paced environment, demonstrating strong attention to detail and the ability to work independently as well as part of a team. With a commitment to exceptional patient care, this position offers a comprehensive benefits package and opportunities for professional growth. If you are passionate about making a difference in healthcare, this is the perfect opportunity for you.

Benefits

Health Coverage

401k with Match

Profit Sharing

Paid Time Off (PTO)

Qualifications

• Minimum 1 year of referral coordination or medical office experience required.
• Experience verifying insurance via online portals is essential.

Responsibilities

• Manage duties related to appointment scheduling and referrals.
• Verify insurance eligibility and maintain organized summaries.

Skills

Insurance Verification

Referral Coordination

Effective Communication

Attention to Detail

Patient Scheduling

Education

High School Diploma

Medical Office Experience

Tools

Next Gen

Epic Systems

Job description

Proliance Orthopedic Sports Medicine Clinic Bellevue, Bellevue, Washington, United States of America

Job Description

Posted Friday, April 18, 2025 at 10:00 AM

Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State.

At Proliance, our patients come from all walks of life and so do we. We hire, develop, and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work. We draw on the differences in who we are, what we’ve experienced, and how we think to create Exceptional Outcomes, Personally Delivered.

We are proud to offer a comprehensive and competitive benefits and pay package including health coverage, 401k with match and profit sharing, PTO, and more! For further details, please visit our careers page at www.proliancesurgeons.com/careers.

Compensation during the offer process will be determined based on factors such as experience, qualifications, and internal equity.

Position Summary

Our busy Orthopaedic and Sports Medicine practice is seeking a motivated, self-directed individual to manage duties related to appointment scheduling, referrals, and prior authorizations.

Hours: Monday through Friday, 40 hours per week, 8:30 am to 5 pm. Training hours may vary between 7 am to 5 pm, Monday through Friday. 90 days of in-office training required, with a potential hybrid schedule after training.

Key Duties and Responsibilities

• Interact professionally and effectively with clinicians, patients, referring providers, and insurance companies.
• Verify insurance eligibility and benefits using automated systems, payer portals, or phone communication.
• Maintain organized, detailed summaries of referral and prior authorization requests.
• Manage incoming referrals from various sources, obtain prior authorizations, and schedule patients accordingly.
• Review scheduled appointments to ensure insurance and referral requirements are met per contracts.
• Maintain knowledge of healthcare plan requirements and networks.
• Triages incoming calls, requests documents, and provides status updates.
• Complete assigned duties and assist others as needed.
• Organize and report accurate and complete information.
• Maintain consistent and timely attendance.
• Remain composed in a fast-paced environment.
• Work independently and as part of a team.
• Demonstrate effective communication skills.
• Work effectively in high-volume patient environments.
• Pay strong attention to detail and stay self-motivated.
• Experience verifying insurance via online portals.
• Minimum 1 year of referral coordination or medical office experience.
• Experience with Next Gen and Epic systems preferred.
• Collaborate effectively with back-office, front office, and business teams.
• Handle communication via phone, fax, MyChart, and email.
• Maintain punctuality and reliable attendance.

Work Environment and Physical Demands

The work environment may include office and clinical settings. Requires normal vision and hearing, ability to sit for long periods, stand, walk, bend, and stretch. Use of telephone and computer is necessary. Manual dexterity for keyboard use. Occasionally lift items up to 40 pounds. May involve stressful conditions or irregular hours.