Referral Coordinator

Sentara Health; United States; On-site; USD 30,000 - 45,000; Full time

Benefits offered by this job

Medical plan

Dental plan

Vision plan

Life insurance

Disability insurance

401k match

Paid time off

Education assistance

Student debt relief

Pet insurance

Legal resources

Job summary

Sentara Health in Suffolk, VA seeks a Full-Time Referral Coordinator to connect patients with care teams and manage referrals. The role includes coordinating referrals and pre-authorizations, using EPIC where available, and ensuring efficient communication with insurance providers.

The position emphasizes organization, knowledge of Medicare/Medicaid and third-party payers, and a Monday-Friday dayshift with no nights or weekends.

Qualifications

• High School Diploma or equivalent required or preferred.
• One year of insurance verification/referral processing experience preferred.
• Medical terminology knowledge preferred.
• Knowledge of EPIC preferred.
• Knowledge of Medicare, Medicaid and third-party payers advantageous.
• Strong organizational skills and accuracy important.

Responsibilities

• Coordinate referral process between patients, primary care providers, specialty providers, and insurance companies.
• Oversee pre-authorization approvals for drugs and other services as ordered by the provider.

Skills

Medical terminology

Insurance verification

Referral processing

Organizational skills

Medicare knowledge

Medicaid knowledge

Third-party payer knowledge

EPIC knowledge

Education

High School Diploma or Equivalent

Job description

Full-Time Referral Coordinator

City/State: Suffolk, VA

Work Shift: First (Days)

Belleharbour is seeking to hire a Full-Time Referral Coordinator in Suffolk, VA.

Position Hours: Monday-Friday, 8a – 430p, Dayshift. NO NIGHTS, HOLIDAYS or WEEKENDS!

Position Location: Suffolk, VA

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 Experience Health Insurance Plans 1 year experience required Medical terminology preferred One year of experience with insurance verification/referral processing preferred Knowledge of EPIC preferred Knowledge of Medicare, Medicaid and third-party payer Strong Organizational Skills Keywords: Referral Coordinator, Health Plan, Medical Office, Talroo-Allied Health

Compensation

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, standby/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.

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

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.

Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!