Referral Coordinator: Patient Access & Referrals

Astrana Health, Inc.; Las Vegas (NV); On-site; USD 28,000 - 32,000; Full time

Job summary

Astrana Health, Inc. is seeking a Referral Coordinator in Las Vegas to support patients needing specialty referrals. You will submit prior authorizations and referrals through insurance portals, send referrals to specialists, and follow up to ensure timely appointments.

The role requires strong communication, familiarity with medical terminology, and proficiency in Microsoft Office and insurance databases. Join our Las Vegas team at our corporate office.

Qualifications

• High school diploma or equivalent required.
• At least 1 year of Call Center experience.
• Experience with Medical Terminology.
• Strong verbal and written communication skills; professional and courteous manner.
• Proficient in Microsoft Office applications and insurance eligibility databases; excellent data entry and typing skills.

Responsibilities

• Handle incoming calls efficiently.
• Identify patients’ needs, clarify information, submit referrals via insurance portals, fax referrals and follow up with patients.
• Provide courteous customer service regarding referral requests.
• Request consult notes from other providers as needed.
• Respond to patient inquiries concerning referrals.
• Communicate with insurance companies to ensure requests adhere to coverage guidelines.
• Track referrals and provide follow-up as needed.
• Document referral activities in patient files.
• Maintain accurate and organized patient file documentation.
• Process Prior Authorization for medications, injections, biologics.

Skills

Call Center Experience

Verbal communication

Written communication

Data entry

Typing

Microsoft Office

Insurance eligibility database

Education

High school diploma or equivalent

Tools

Microsoft Office

Insurance eligibility database

E Clinical Works

Job description

Astrana Health, Inc. is seeking a Referral Coordinator in Las Vegas to support patients needing specialty referrals. You will submit prior authorizations and referrals through insurance portals, send referrals to specialists, and follow up to ensure timely appointments.

The role requires strong communication, familiarity with medical terminology, and proficiency in Microsoft Office and insurance databases. Join our Las Vegas team at our corporate office.