Referral coordinator

Referral CoordinatorWe are seeking an experienced Referral Coordinator to support patient referrals, insurance authorizations, and care coordination within a healthcare setting. This role is responsible for processing referrals, obtaining insurance approvals, maintaining accurate patient documentation, and communicating with patients, healthcare providers, and insurance companies to ensure timely access to care.Key Responsibilities:Process and coordinate incoming patient referrals.Obtain insurance pre-authorizations and reauthorizations for treatments, procedures, testing, therapies, and infusions.Coordinate additional patient visits and ensure required approvals are obtained.Verify insurance coverage and review referral requirements.Maintain accurate patient records, referral documentation, and authorization information.Ensure compliance with Medicare documentation and insurance authorization requirements.Communicate with patients, healthcare providers, and insurance payors regarding referral status and coverage.Assist with resolving authorization issues and supporting cost-effective care coordination.Required Qualifications:Epic experience is required.Horizon Home Care experience is required.Minimum of 3 years of experience working with insurance in a medical setting or related field.Experience obtaining insurance authorizations and reauthorizations for medical services.Knowledge of referral processes, prior authorization requirements, and Medicare documentation.Proficiency in Microsoft Office applications.Excellent communication, organizational, and customer service skills.Strong attention to detail and ability to manage multiple referrals and deadlines.Benefits: 401(k) Dental insurance Health insurance Vision insurance