Referral & Insurance Coordination Specialist

Poppy Bank; Phoenix (AZ); On-site; USD 38,000 - 52,000; Full time

Job summary

Poppy Bank is seeking a Referral Coordinator to manage referral operations and prior authorization processes within our Phoenix clinics. You will coordinate with patients, physicians, and insurers to streamline appointments and ensure timely authorizations.

The role requires at least two years of experience in pre-authorization or insurance verification, familiarity with major health plans, and strict HIPAA compliance. Proficiency with Windows and Microsoft Office is expected.

Qualifications

• Two years of pre-authorization or insurance verification experience.
• Knowledge of Medicare, Medicaid, HMO, and PPO plans.
• HIPAA compliance and confidentiality.

Responsibilities

• Schedule appointments with patients, physicians, and staff.
• Verify eligibility, coverage criteria, and benefits with insurers.
• Coordinate referrals and complete patient assessments.
• Process and fax medical records to relevant departments.
• Maintain patient charts in ECW and update physician portals.
• Support referral sources and communications with providers.

Skills

Customer service

HIPAA compliance

Communication

Organization

Education

High school

Tools

ECW

Windows

Microsoft Office

Job description

Poppy Bank is seeking a Referral Coordinator to manage referral operations and prior authorization processes within our Phoenix clinics. You will coordinate with patients, physicians, and insurers to streamline appointments and ensure timely authorizations.

The role requires at least two years of experience in pre-authorization or insurance verification, familiarity with major health plans, and strict HIPAA compliance. Proficiency with Windows and Microsoft Office is expected.