Referral Coordinator - Behavioral Health

Prosser Memorial Health; Prosser (WA); On-site; USD 27,552 - 41,328; Full time

Job summary

Prosser Memorial Health is seeking a Referral Coordinator to verify insurance benefits and obtain prior authorizations for referrals, visits, procedures, and testing. You will ensure all referrals are authorized and scheduled, coordinate appointments, communicate with patients, and register patients.

You will work with other departments to provide required patient information in electronic format whenever possible.

Qualifications

• High school diploma or GED.
• 1 year of medical experience with insurance verification or referral authorization.
• Knowledge of medical terminology, CPT and ICD codes.
• Strong written and verbal communication skills.
• Ability to handle confidential patient information and adapt to change.
• Ability to manage priorities and meet deadlines.

Responsibilities

• Check insurance benefits and obtain prior authorizations for referrals, visits, procedures, and testing.
• Ensure referrals are authorized and scheduled, and verify all necessary patient information.
• Coordinate appointments, communicate with patients, and register patients.
• Monitor referrals for loop closure and confirm attendance and receipt of consultation notes.

Skills

Insurance verification

Referral authorization

Medical terminology

CPT & ICD codes

Effective communication

Confidential handling of patient data

Time management

Adaptability to change

Deadline-driven

Education

High school diploma or GED

Job description

FT, 80 hrs/pp, 1.0 FTE; varies as scheduled.

Job Summary

Responsible for checking insurance benefits and obtaining prior authorizations for outgoing specialist visits, procedures, and testing. Ensuring all incoming referrals for office visits, procedures, and testing have been authorized and scheduled. Additionally, the referral coordinator’s responsibilities include appointment coordination, patient communication, and registering patients. Will work together with other departments and/or organizations to assure all necessary patient information is provided and/or obtained, and in electronic format whenever possible. Ensures all patient referrals are monitored for loop closure; determine patients attended appointments or not and consultation notes have been received or sent.

Education and/or Experience Requirements

• High school diploma or GED.
• One-year medical experience with exposure to insurance verification or referral authorization fundamentals.
• Knowledge of medical terminology, CPT & ICD codes.
• Ability to communicate effectively, both written and orally.
• Ability to handle patient and organizational information in a confidential manner.
• Ability to work in an environment of continuous change.
• Ability to manage priorities and work under deadlines.

Compensation & Benefits

• Pay Range: $20.87- $30.91
• Excellent health, dental, and vision benefits
• Retirement plan with employer contributions
• Generous paid time off