Referral Coordinator: Patient Access & Authorization Lead

Proactive MD; Romeo (MI); On-site; USD 25,000 - 39,000; Full time

Job summary

Proactive MD is seeking a Referral Coordinator to facilitate referrals, orders and prior authorizations across geographic regions and insurance plans. This role will independently complete prior authorizations and orders using EMR documentation, coordinating with the Provider, Patient Advocate, and Clinical Coordinator for seamless patient care.

Responsibilities include cross-training on related roles, answering clinic phones, and promptly notifying patients when referrals or authorizations are

Qualifications

• CMA preferred or 5+ years as a referral coordinator.
• 2+ years of experience in healthcare settings involving referrals, providers, or insurance.
• Current certification in Basic Life Support.
• Managed care insurance experience.
• Demonstrated problem solving skills.
• Ability to communicate effectively with patients and providers.
• Knowledge of insurance networks concepts and principles.
• Demonstrated ability to stay highly organized with time‑sensitive tasks.
• Knowledge of the healthcare industry and available patient resources.
• Knowledge of HIPAA confidentiality requirements.

Responsibilities

• Cross trained on Patients Advocate and Clinical Coordinator responsibilities.
• Provide clinical coverage by answering clinic phones and other duties as needed.
• Notify patient that referral/order or prior authorization has been completed and ask if there are barriers to completion.

Skills

CMA

Basic Life Support

Communication skills

HIPAA knowledge

Time management

Problem solving

Healthcare experience

Insurance networks knowledge

Education

CMA or 5+ years as referral coordinator

2+ years healthcare setting experience

Job description

Proactive MD is seeking a Referral Coordinator to facilitate referrals, orders and prior authorizations across geographic regions and insurance plans. This role will independently complete prior authorizations and orders using EMR documentation, coordinating with the Provider, Patient Advocate, and Clinical Coordinator for seamless patient care.

Responsibilities include cross-training on related roles, answering clinic phones, and promptly notifying patients when referrals or authorizations are