Referral Coordinator

Astrana Health; Las Vegas (NV); On-site; USD 26,000 - 32,000; Full time

Job summary

Astrana Health in Las Vegas is seeking a Referral Coordinator to support patients by processing referrals and prior authorizations, submitting through insurance portals, and coordinating with specialists.

This role emphasizes accurate documentation, timely follow-up, and courteous patient service, leveraging medical terminology knowledge and strong communication.

Proactive team member in Billing - Central, based at our Las Vegas office.

Qualifications

• 1 year of call center experience preferred.
• Experience with medical terminology required.
• Strong verbal and written communication skills.

Responsibilities

• Handle patient calls and identify needs; clarify information and submit referrals via insurance portals.
• Send referrals to specialists and follow up with patients and providers to ensure appointments.
• Provide courteous service on referral requests and manage insurance communications for coverage guidelines.

Skills

Call Center

Medical Terminology

Communication

MS Office

Data Entry

Education

High School Diploma

Tools

ECW (EClinicalWorks)

Job description

Location: 8880 W Sunset Rd, Suite 320, Las Vegas NV 89148

Compensation: $19.00 - $23.00 / hour

Department: Billing - Central

Location: 8880 W Sunset Rd, Suite 320, Las Vegas NV 89148

Compensation: $19.00 - $23.00 / hour

Description

About the Role

The Referral Coordinator is responsible for assisting patients who require specialty care referrals. The coordinator submits all prior authorizations and referrals through the proper insurance portals for approval. Responsible for sending out the referrals to the specialists and following up with the specialists and patents to ensure they are seen.

Our Values

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do

• Handle incoming calls efficiently.
• Responsible for identifying patients’ needs, clarifying information, submitting referrals via insurance portals, faxing out referrals and following up with the patient.
• Provide courteous customer service to patients regarding referral requests.
• Request consult notes from other providers as needed.
• Responds to all patient inquiries concerning their referrals.
• Communicate with insurance companies to ensure all requests adhere to guidelines of coverage.
• Track referrals and provide follow‑up as needed.
• Document all referral activities on patient files for future reference.
• Maintain accurate and organized patient file documentation.
• Process Prior Authorization for Medications, Injections, Biologics.

Skills, Knowledge & Expertise

• High school diploma or equivalent required
• At least 1 year of Call Center Experience
• Experience with Medical Terminology
• Strong verbal and written communication skills; must be able to communicate in a professional and courteous manner
• Proficient in Microsoft Office applications and insurance eligibility database
• Excellent data entry and typing skills

Preferred Qualifications

• A minimum of 1-year previous experience for both Prior Authorization and Referrals preferred
• Knowledge of E Clinical Works
• Knowledge of managed care and medical insurance plans

Environmental Job Requirements and Working Conditions

• This position is located in our Las Vegas Corporate Office - 8880 W Sunset Rd, Suite 320, Las Vegas NV 89148.
• The base pay range for this role is $19 - $23 per hour. This salary range represents our national target range for this role.