Strategic Referral & Authorization Coordinator

Renown Health; Reno, Northern (NV, KY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Renown Health in Reno, NV is seeking a Referral Specialist to process authorizations promptly, input data from calls, and verify eligibility. The role interfaces with care teams, physicians, and insurers to ensure appropriate utilization and timely treatment.

You will support pre-registration, scheduling, and payment collection while maintaining HIPAA standards. A strong knowledge of insurance products and medical terminology is valued.

Qualifications

• High school diploma or GED; proficient in English.
• At least 1 year of experience in a medical office or health care billing.
• Proficient with Microsoft Office (Outlook, Excel, Word).
• Knowledge of HIPAA and health insurance terminology.

Responsibilities

• Process authorization requests timely and accurately.
• Enter data from phone, fax, or electronic submissions.
• Verify member eligibility and benefit coverage.
• Coordinate benefits information with physicians and insurers.
• Communicate plan benefits and/or exclusions to offices.
• Support scheduling and payment collection.

Skills

Insurance knowledge

Communication skills

Data processing

HIPAA knowledge

Medical terminology

Organization

ICD-10/CPT knowledge

Education

High school graduation or GED

Tools

Microsoft Office

Outlook

Excel

Word

Job description

Renown Health in Reno, NV is seeking a Referral Specialist to process authorizations promptly, input data from calls, and verify eligibility. The role interfaces with care teams, physicians, and insurers to ensure appropriate utilization and timely treatment.

You will support pre-registration, scheduling, and payment collection while maintaining HIPAA standards. A strong knowledge of insurance products and medical terminology is valued.