Referral Coordinator I - Days

Full time (40 hours weekly)

Monday-Friday 8-4:30

General Summary

Performs a variety of support functions for each assigned practice including, but not limited to, scheduling, insurance verification, obtaining authorizations and referrals and record management.

Duties and Responsibilities

Essential Functions:

• Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information.


• Ensures patient confidentiality.


• Manages the insurance referral process according to policy. Keeps staff current on changes.


• Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME and medications.


• Provides insurance company with clinical information necessary to secure authorizations.


• Communicates with clinical team when authorization is unable to be obtained.


• Maintains referral record in electronic medical record.

Common Expectations:

• Maintains established policies and procedures, objectives, quality assessment and safety standards.


• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation


• Establishes and maintains files and records on an ongoing basis.


• Opens and routes incoming mail; distributes correspondence and other material to staff.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 1 year Medical insurance experience or experience obtaining authorizations and referrals from insurance companies. Required


• Medical front office experience. Preferred

Courses and Training:

• Medical terminology. within 180 days Required

Benefits Offered:

• Comprehensive health benefits


• Retirement savings plan


• Paid time off (PTO)


• Education assistance


• Financial education and support, including DailyPay


• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)