Referral Coordinator

Sentara Health; Maryland; On-site; USD 45,000 - 68,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with employer match

Paid Time Off and Holidays

Tuition Assistance – $5,250/year

Job summary

Sentara Health in Hampton, VA is seeking a Referral Coordinator to manage referrals between patients, primary care and specialty providers, and insurers. The role includes coordinating referrals and obtaining pre-authorizations for medications and services, with emphasis on accurate medical terminology and familiarity with Medicare/Medicaid processes.

The position requires a high school diploma, knowledge of insurance verification, and EPIC proficiency.

Qualifications

• High School Diploma or equivalent is required.
• One year of experience with insurance verification/referral processing preferred.
• Knowledge of Medicare, Medicaid and third party payers.
• Medical terminology preferred.

Responsibilities

• Coordinate referral process from primary care providers and specialists.
• Handle pre-authorization approvals for drugs and other services as ordered by the provider.
• Serve as liaison between patients, providers, and insurance companies.

Skills

Medical terminology

Medicare/Medicaid knowledge

Insurance verification

Referral processing

Education

High School Diploma or equivalent

Tools

EPIC

Job description

City/State Hampton, VA

Work Shift First (Days)

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

Overview

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

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.

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.