Referral Coordinator I - Chambersburg - Days

Socket.dev; Chambersburg (Franklin County); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Comprehensive health benefits

Retirement savings plan

Paid time off (PTO)

Education assistance

DailyPay

Expanded Paid Parental Leave

Job summary

WellSpan Health is seeking a Medical Front Office Specialist to support outpatient practice operations, including scheduling, insurance verifications, authorizations, referrals, and record management.

This full-time role (40 hours weekly) supports patient access and coordination across care teams. Prior insurance and front office experience is preferred, with terminology training within 180 days.

Qualifications

• 1 year medical insurance experience or experience obtaining authorizations and referrals from insurance companies
• Medical front office experience preferred
• Medical terminology within 180 days required

Responsibilities

• Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information
• Ensures patient confidentiality
• Manages the insurance referral process according to policy and keeps staff current on changes
• Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME and medications
• Provides insurance company with clinical information necessary to secure authorizations
• Communicates with clinical team when authorization is unable to be obtained
• Maintains referral record in electronic medical record
• Opens and routes incoming mail; distributes correspondence and other material to staff

Skills

Insurance verification

Scheduling

Referral processing

Record management

Education

High School Diploma or GED

Tools

Electronic Medical Record (EMR)

Job description

Full time (40 hours weekly)
Dayshift

General Summary

Performs a variety of support functions for each assigned practice including, but not limited to, scheduling, insurance verification, obtaining authorizations and referrals and record management.

Responsibilities

Duties and Responsibilities
Essential Functions:

• Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information.
• Ensures patient confidentiality.
• Manages the insurance referral process according to policy. Keeps staff current on changes.
• Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME and medications.
• Provides insurance company with clinical information necessary to secure authorizations.
• Communicates with clinical team when authorization is unable to be obtained.
• Maintains referral record in electronic medical record.

Common Expectations:

• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation
• Establishes and maintains files and records on an ongoing basis.
• Opens and routes incoming mail; distributes correspondence and other material to staff.

Qualifications

Qualifications
Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 1 year Medical insurance experience or experience obtaining authorizations and referrals from insurance companies. Required
• Medical front office experience. Preferred

Courses and Training:

• Medical terminology. within 180 days Required

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)

WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.