Referral Coordinator - Neuro/Spine

Prosser Memorial Health; Prosser (WA); On-site; USD 28,750 - 42,581; Full time

Benefits offered by this job

Health benefits

Retirement plan with employer gifts

Generous paid time off

Job summary

Prosser Memorial Health is seeking a Referral Coordinator to verify insurance benefits and secure prior authorizations for referrals, visits, procedures, and testing. You will coordinate appointments, communicate with patients, and ensure proper registration and electronic documentation wherever possible.

You will work across departments to ensure referrals are tracked to completion, confirm attendance, and verify that consultation notes are received or sent.

Qualifications

• High school diploma or GED.
• 1 year medical experience with exposure to insurance verification or referral authorization fundamentals.
• Knowledge of CPT & ICD codes.
• Ability to communicate effectively, both written and orally.
• Confidential handling of patient and organizational information.
• Ability to work in a changing environment.
• Ability to manage priorities and deadlines.

Responsibilities

• Check insurance benefits and obtain prior authorizations for referrals, visits, procedures, and testing.
• Ensure referrals for office visits, procedures, and testing are authorized and scheduled.
• Coordinate appointments, communicate with patients, and register patients.
• Collaborate with other departments to provide and obtain patient information electronically when possible.
• Monitor referrals for loop closure and confirm attendance and documentation.

Skills

Healthcare coordination

Insurance verification

Prior authorizations

CPT & ICD knowledge

Effective communication

Confidential handling

Adaptability

Prioritization

Education

High school diploma or GED

Knowledge of CPT & ICD codes

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