Referral Coordinator - GI Outpatient Referrals-Open to Internal Applicants Only (PMH Employees)

Prosser Memorial Health; Prosser (WA); On-site; USD 29,000 - 43,000; Full time

Benefits offered by this job

Health, dental, and vision benefits

Retirement plan with employer-contri-b

Generous paid time off

Job summary

Prosser Memorial Health in Prosser, WA is seeking an experienced Referral Coordinator to verify benefits, obtain authorizations, and ensure referrals for office visits, procedures, and testing are properly authorized and scheduled. The role includes appointment coordination, patient communication, and patient registration.

Work collaboratively with departments to ensure complete patient information is available electronically, monitor loop closures, and track attendance and consultation notes.

Qualifications

• High school diploma or GED required.
• At least 1 year medical experience with insurance verification or referral authorization.
• Knowledge of CPT and ICD codes.
• Strong written and verbal communication skills.
• Ability to handle confidential information and adapt to change.

Responsibilities

• Check insurance benefits and obtain prior authorizations for outgoing referrals.
• Ensure referrals for visits, procedures, and testing are authorized and scheduled.
• Coordinate appointments and communicate with patients; register patients.
• Monitor referrals for loop closure and confirm attendance and notes.

Skills

Communication skills

Organizational skills

Confidentiality

Deadline management

Medical terminology

Education

High school diploma or GED

1 year medical experience in insurance verification or referral authorization

Job description

FT, 80 hrs/pp, 1.0 FTE; varies as scheduled. (GI Outpatient Referrals) Open to Internal Applicants Only (PMH Employees)

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

Why Prosser?

Prosser Memorial Health is proud to be the ONLY Critical Access Hospital in Washington State with a 5-Star CMS rating and ranked among the Top 10 Recommended Hospitals in Washington.

Community Highlights:

• Friendly, welcoming community at the heart of Washington wine country
• 300 days of sunshine with easy access to the Yakima River and outdoor recreation
• Just 30 minutes from the Tri-Cities (Pasco, Kennewick, Richland) and the Tri-Cities Airport (PSC)
• Cost of living 18% lower than the national average
• Quick 30-minute flights to Seattle, WA, or Portland, OR
• National recognition:
• #1 Best Suburbs to Buy a House in WA (Niche)
• #1 Best Places to Live in WA (AreaVibes)
• #1 Most Secure Mid-Sized City in the U.S.

Join Our Team!

At Prosser Memorial Health, you’ll find more than just a job—you’ll find a community and a mission. Whether you’re an experienced professional or a new graduate, this is an opportunity to grow your career in a supportive environment, with state-of-the-art facilities and an outstanding team.