Referral Coordinator - Pulmonology

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

Benefits offered by this job

Health, dental, and vision benefits

Retirement plan

Generous paid time off

Job summary

Prosser Memorial Health is hiring a Referral Coordinator to verify insurance benefits and obtain prior authorizations for outpatient visits and procedures. You will ensure referrals are authorized, scheduled, and tracked while coordinating appointments and communicating with patients and departments.

The role requires confidentiality, strong written and oral communication, and the ability to manage priorities in a dynamic healthcare setting.

Qualifications

• Must verify insurance benefits and obtain prior authorizations.
• Experience with CPT/ICD codes and medical terminology is preferred.
• Strong communication and ability to handle confidential information.

Responsibilities

• Check insurance benefits and obtain prior authorizations for visits and testing.
• Ensure referrals are authorized, scheduled, and tracked to loop closure.
• Coordinate appointments and communicate with patients and departments.

Skills

Insurance verification

Prior authorizations

Appointment coordination

Confidentiality

Prioritization

Education

High school diploma or GED

1-year medical experience (insurance/referral)

Medical terminology, CPT & ICD codes

Job description

FT, 80 hrs/pp, 1.0 FTE; varies as scheduled. Open to Internal Applicants Only (PMH Employees)

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-art facilities and an outstanding team.