Referral Coordinator

Sentara Healthcare Inc; Hampton (VA); Hybrid; USD 30,000 - 45,000; Full time

Job summary

Sentara Healthcare Inc in Hampton, VA is hiring a Referral Coordinator to streamline referrals between patients, primary care and specialty providers, and insurance payers.

This remote, dayshift role offers Monday-Friday, 8:00AM - 4:30PM, with a base pay range of $21.73-$32.91 hourly plus comprehensive benefits. Prior experience with insurance verification and EPIC is preferred.

Qualifications

• Knowledge of Medicare, Medicaid and third party payers.
• Experience with insurance verification/referral processing preferred.
• Medical terminology knowledge preferred.
• Proficient in using computers and strong organizational skills.

Responsibilities

• Serve as the link between patients, primary care providers, specialty providers, and insurance companies.
• Coordinate the referral process from PCPs and manage pre-authorization for drugs and services.
• Process referrals and verify insurance coverage and eligibility.
• Maintain accurate records and documentation in the EMR.

Skills

Medical terminology

Insurance verification

Coordination

Organizational skills

Education

High School Diploma or equivalent

Tools

EPIC

Job description

SMG Family & Internal Medicine Physicians Careplex is now hiring a Referral Coordinator in the Hampton, VA area!

Hours: Monday-Friday, 8:00AM - 4:30PM, dayshift.

This position is remote.

Overview:

Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider.

Medical terminology preferred. Knowledge of Medicare, Medicaid and third party payers. One year of experience with insurance verification/referral processing preferred. Knowledge of EPIC preferred. Proficient in use of computers and excellent organizational skills.

Education

• High School Diploma or equivalent (required)

Experience

• Health Insurance Plans - 1 Year

Keywords: Referral Coordinator, Talroo-Allied Health, Medical Office

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $21.73 - $32.91 hourly. Additional compensation may be available for this role, such as shift differentials, on-call pay, overtime, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs. Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.