Specialty Care Coordinator: Referrals & Authorizations

Ridgeview; Fort Snelling Unorganized Territory (MN); On-site; USD 41,000 - 58,000; Full time

Job summary

Ridgeview seeks a skilled coordinator to manage Specialty Care patient referrals, pre-certifications, and liaison activities among patients, health plans, and providers. The role ensures accurate patient registration, timely appointments, and coordination of inpatient/outpatient services.

Responsibilities include documentation, coding, and billing alignment, plus reporting statistics and providing administrative support as needed.

Qualifications

• High School diploma or equivalent.
• Strong customer service experience.
• Attention to detail.
• Two years’ healthcare experience.

Responsibilities

• Assures accurate processing of patient registration.
• Accurately schedules patient appointments according to clinic policy.
• Coordinates insurance referral actions and pre-certifications.
• Coordinates care with Ridgeview Patient Financial Services.
• Coordinates requests for release of medical information.
• Assists with coordination of completion of medical forms.
• Responsible for self-education to keep informed of changes within the care system guidelines.
• Screens as a liaison between patients, insurance company and provider.
• Coordinates with the Clinic Staffing Department coverage for current and upcoming shifts based on established guidelines and needs.
• Coordinates inpatient and outpatient services including imaging, lab, procedures, surgeries, etc.
• Ensures that all Specialty Care services have been captured and that documentation, coding and billing has been completed for each service.
• Collects and reports statistics as needed.
• Performs administrative support duties as needed.
• Performs other duties as assigned.

Skills

Multi-tasking

Customer service

Attention to detail

English communication

Teamwork

Critical thinking

Education

High School diploma or equivalent

Two years healthcare experience

Tools

Microsoft Office

Job description

Ridgeview seeks a skilled coordinator to manage Specialty Care patient referrals, pre-certifications, and liaison activities among patients, health plans, and providers. The role ensures accurate patient registration, timely appointments, and coordination of inpatient/outpatient services.

Responsibilities include documentation, coding, and billing alignment, plus reporting statistics and providing administrative support as needed.