Referral Coordinator - Pain Clinic

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

Benefits offered by this job

Excellent health benefits

Dental benefits

Vision benefits

Retirement plan with employer match

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.

Requirements include a high school diploma or GED and 1 year of medical experience with insurance authorization exposure. CPT/ICD knowledge and confidentiality are essential in a changing healthcare setting.

Qualifications

• 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.

Responsibilities

• Check insurance benefits and obtain prior authorizations for outgoing specialist visits, procedures, and testing.
• Ensure all incoming referrals for office visits, procedures, and testing have been authorized and scheduled.
• Coordinate appointments, communicate with patients, and register patients.
• Monitor referral loop closure; determine attendance and ensure consultation notes are received or sent.

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

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-… facilities and an outstanding team.