Referral & Scheduling Specialist - Medical Benefits

Prosser Memorial Health; Prosser (WA); On-site; USD 59,802,000 - 88,570,000; Full time

Benefits offered by this job

Health benefits

Dental benefits

Vision benefits

Retirement plan

Paid time off

Job summary

Prosser Memorial Health is seeking a Referral Coordinator to check insurance benefits, obtain prior authorizations for outgoing specialist visits, procedures, and testing. You will ensure referrals are authorized, scheduled, and monitored, and you will coordinate appointments and register patients.

Collaborating with multiple departments, you will track loop closure, confirm patient attendance, and ensure consultation notes are received or sent.

Qualifications

• HS diploma or GED required.
• 1 year of 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 oral.
• Ability to handle confidential information.
• Ability to work under deadlines and manage priorities.

Responsibilities

• Check insurance benefits and obtain prior authorizations for outgoing specialist visits, procedures, and testing.
• Ensure all referrals for office visits, procedures, and testing are authorized and scheduled.
• Coordinate appointments, communicate with patients, and register patients.
• Collaborate with other departments to obtain necessary patient information in electronic format when possible.
• Monitor referrals for loop closure and confirm attendance and delivery of consultation notes.

Skills

Insurance verification

Referral authorization

Medical terminology

CPT & ICD codes

Confidentiality

Prioritization

Time management

Education

High school diploma

Job description

Prosser Memorial Health is seeking a Referral Coordinator to check insurance benefits, obtain prior authorizations for outgoing specialist visits, procedures, and testing. You will ensure referrals are authorized, scheduled, and monitored, and you will coordinate appointments and register patients.

Collaborating with multiple departments, you will track loop closure, confirm patient attendance, and ensure consultation notes are received or sent.