Referral Coordinator I - Chambersburg - Days

WellSpan Health; 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 in Chambersburg, PA is seeking a detail-oriented Front Office Insurance Verification Specialist to support assigned practices. You will schedule patient appointments, verify insurance, obtain authorizations and referrals, and maintain records.

This full-time, dayshift role requires discretion and teamwork within a busy healthcare network. You will interact with patients and staff to ensure smooth documentation and timely care across WellSpan locations.

Qualifications

• High school diploma or GED required.
• 1 year medical insurance experience or experience obtaining authorizations/referrals.
• Medical terminology knowledge preferred (within 180 days).

Responsibilities

• Schedules patient appointments with specialty providers and handles referrals.
• Ensures patient confidentiality.
• Manages the insurance referral process according to policy.
• Reviews patient insurance to obtain authorizations for tests, labs, DME and meds.
• Provides insurer with clinical information to secure authorizations.
• Communicates with clinical team when authorization cannot be obtained.
• Maintains referral record in the EMR.

Skills

Customer service

Insurance verification

Authorizations & referrals

Record management

Attention to detail

Education

High School Diploma or GED

Job description

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.

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)

About Us

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.