Authorization and Referral Coordinator

Job Summary

To support a growing healthcare practice, the full-time Authorization and Referral Coordinator will manage the authorization and referral processes, ensuring compliance with insurance requirements and facilitating communication between patients, providers, and insurance companies in a hybrid remote environment.

Key responsibilities

• Verify and submit authorization requests, monitoring status and communicating outcomes to relevant parties
• Coordinate referrals by confirming requirements, obtaining necessary documentation, and tracking approvals
• Educate patients on authorization and referral processes, addressing any concerns and providing updates on their status

Required qualifications

• High school diploma or GED required; Associate's degree in Healthcare Administration or related field preferred
• Minimum 2 years of experience in prior authorization, referrals, or healthcare administrative support
• Strong understanding of Medicaid, Medicare, and commercial payer policies
• Proficiency in EHR and practice management systems, with knowledge of CPT, ICD-10, and HCPCS codes
• Certification in medical billing or coding (e.g., CPC, CCA) is preferred