Referral Authorization Coordinator

As a member of the revenue cycle team, the Referral Authorization Coordinator will work with various stakeholders to assist with the execution and finalization of referrals and authorizations.

• Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
• Performs eligibility checks on members as necessary by telephone or electronically.
• Responsible for processing of all patient referrals for assigned cost centers.
• Obtains authorizations, follows procedures for proper authorization and processing of all referral services.
• Supports clinicians and patients in synchronized authorizations and tests taking place in different facilities.
• Communicates with facilities and clinicians to ensure follow through with referrals.
• Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
• Completes all administrative functions related to referral activities efficiently.
• Monitors all referral reports not received and follows up in a timely manner.
• Maintains amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians.
• Performs various clerical work, including faxing, scanning, and copying, ensuring compliance with internal and external standards.
• Meets daily, monthly, and quarterly metrics and goals set by the leadership team.
• Performs other related duties as assigned.

• 2 years of experience as a Referral Authorization Coordinator, with experience in insurance verification & processes. Prior referral & authorization experience is a plus.
• Proficient in Microsoft Office suite, including Outlook, Word, and Excel.
• Self‑starter, displaying the highest level of integrity and respect for confidentiality.
• Exhibits practical judgment and sensitivity to changing needs and situations.
• High attention to detail and accuracy.
• Strong sense of urgency and ability to adapt to a changing environment.
• Excellent written and verbal communication skills, providing courtesy and professionalism in all communications.
• Proven ability to work independently and within a team.
• Demonstrated ability to collaborate with other departments and teams.
• Ability to multi‑task, meet deadlines, and succeed in a fast‑paced work environment.
• Minimum high school diploma or equivalent.