Remote Authorization & Referral Coordinator

St. Charles Health System; Redmond (WA); Hybrid; USD 31,000 - 41,000; Full time

Job summary

St. Charles Health System is seeking a Prior Authorizations and Referral Management Representative to coordinate prior authorizations and referrals for services, tests and surgeries.

This role serves as a liaison between patients and care teams, with extensive scheduling coordination across departments. Requires a high school diploma or GED and at least one year of hospital, clinic, or medical billing experience, plus knowledge of medical coding.

Qualifications

• Minimum of one year experience in hospital, clinic, or medical insurance billing.
• Basic understanding of medical coding.
• Excellent communication and organizational skills.
• Ability to multitask and work in a team.

Responsibilities

• Coordinate prior authorizations and referrals for services and surgeries.
• Confirm and validate patient health plan coverage; obtain benefits.
• Communicate provider, facility, and order details to health plans.
• Schedule patients with internal and external departments.

Skills

Prior authorization

Referral management

Medical billing

Patient communication

Education

High School diploma or GED

College coursework (preferred)

Tools

EMR systems

MS Office

MS Teams

Excel

Job description

St. Charles Health System is seeking a Prior Authorizations and Referral Management Representative to coordinate prior authorizations and referrals for services, tests and surgeries.

This role serves as a liaison between patients and care teams, with extensive scheduling coordination across departments. Requires a high school diploma or GED and at least one year of hospital, clinic, or medical billing experience, plus knowledge of medical coding.