Insurance Referral Coordinator

Position Overview

We are seeking a highly organized and detail-oriented Insurance Referral Coordinator to join our growing healthcare team. In this critical role, you will ensure seamless coordination of patient referrals and insurance authorizations, helping to deliver timely, high-quality patient care.

The ideal candidate is proactive, efficient, and knowledgeable in insurance processes, with a strong commitment to accuracy and patient satisfaction.

Key Responsibilities

• Coordinate and process patient referrals to specialists, facilities, and ancillary services
• Verify insurance eligibility, coverage, and benefits prior to scheduled services
• Obtain, track, and manage prior authorizations and referrals in accordance with payer requirements
• Communicate effectively with patients, providers, and insurance companies to ensure continuity of care
• Maintain accurate and up-to-date documentation in the electronic health record (EHR) system
• Monitor and follow up on pending referrals and authorizations to prevent delays in patient care
• Assist patients with insurance-related questions, providing clear and helpful guidance
• Ensure compliance with HIPAA and all regulatory standards

Qualifications

• High school diploma or equivalent required (Associate’s degree preferred)
• 1–3 years of experience in healthcare administration, referrals, or insurance coordination
• Working knowledge of medical terminology and insurance plans (HMO, PPO, Medicare, Medicaid)
• Experience with EHR/EMR systems
• Strong attention to detail and organizational skills
• Excellent communication and customer service abilities
• Ability to multitask and meet deadlines in a fast-paced environment

Preferred Skills

• Experience with prior authorizations and referral management workflows
• Basic understanding of medical billing and coding
• Strong problem-solving skills with a patient-centered approach

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

Work Location: In person