Patient Referral Coordinator

Job Summary

A company is looking for a Patient Referral Coordinator to assist members with telehealth case management and referral processes.

Key Responsibilities:

• Search databases to provide a list of appropriate physicians based on members' conditions and preferences
• Complete prior authorization requests in various systems and perform quality checks
• Manage case requests independently and escalate complicated issues to clinical staff

Required Qualifications:

• High school degree or equivalent required; post-secondary diploma/degree preferred
• 1-3 years' experience in a clinical environment required
• Prior Referral Coordinator experience preferred
• Medical terminology and coding proficiency
• ICD 10 coding certification preferred