Referral Coordinator — Patient Access & Authorization

Boone Memorial Hospital; Madison (WV); On-site; USD 48,000 - 72,000; Full time

Job summary

Boone Memorial Health in Madison, WV is seeking a Referral Specialist to join our healthcare team. The role coordinates patient referrals, insurance authorizations, and appointment scheduling to ensure timely access to services.

You will work with patients, families, physicians, providers, and insurers to navigate referrals, verify demographics, and maintain records in CPSI/Medical Records. Strong communication, detail orientation, and advocacy are essential to support patients through the

Qualifications

• High school diploma or GED required.
• Minimum of two (2) years of experience with patient referrals, medical scheduling, or insurance authorizations.
• Experience in a physician practice, hospital, clinic, or healthcare setting preferred.
• Knowledge of CPT-10 coding.
• Knowledge of insurance authorization and referral processes.
• Strong organizational and time-management skills.
• Excellent communication and interpersonal skills.
• Ability to provide professional and courteous customer service.
• Strong problem-solving and patient advocacy skills.

Responsibilities

• Process and coordinate patient referrals accurately and efficiently.
• Obtain insurance authorizations and follow up on pending requests.
• Schedule patient appointments and coordinate services with providers and healthcare facilities.
• Verify and maintain accurate patient demographics and insurance information.
• Maintain referral records, tracking logs, and follow-up documentation.
• Monitor referral status and ensure referrals are completed in a timely manner.
• Respond professionally to patient, provider, and insurance inquiries by telephone and other communication methods.
• Document referral information accurately in CPSI/Medical Records and other required systems.
• Review patient logs and run reports to monitor referral activity.
• Assist patients and families with navigating the healthcare system and resolving referral-related concerns.
• Advocate for patients when working with insurance carriers to obtain approval for necessary services and supplies.
• Communicate referral information clearly to physicians, providers, staff, and other healthcare professionals.
• Maintain patient confidentiality and follow all applicable policies and procedures.
• Work cooperatively with coworkers, physicians, providers, and other members of the healthcare team.
• Perform other duties as assigned.

Skills

Medical terminology

Insurance authorizations

Scheduling coordination

Patient advocacy

Communication skills

Attention to detail

Education

High school diploma or GED

Tools

CPSI/Medical Records

Job description

Boone Memorial Health in Madison, WV is seeking a Referral Specialist to join our healthcare team. The role coordinates patient referrals, insurance authorizations, and appointment scheduling to ensure timely access to services.

You will work with patients, families, physicians, providers, and insurers to navigate referrals, verify demographics, and maintain records in CPSI/Medical Records. Strong communication, detail orientation, and advocacy are essential to support patients through the