The Referral and Authorization Coordinator plays a vital role in ensuring a seamless experience for patients and providers alike. This position is responsible for managing all aspects of pre-registration, registration, insurance verification, and pre-certification to guarantee that each patient’s information and authorizations are accurate before their appointment. Acting as a key liaison between patients, primary care offices, and insurance companies, this role ensures every visit begins with confidence and clarity.
Verify patient benefits and obtain necessary referrals, authorizations, and precertifications for all ambulatory visits, procedures, injections, and radiology services.
Utilize web-based systems to confirm real-time insurance eligibility and update patient demographic and coverage details as needed.
Prepare and maintain patient charts daily to ensure a smooth and efficient check-in process.
Create and manage referrals, faxing forms to providers and insurance companies promptly.
Efficiently process 75–80 referrals per day while maintaining accuracy and attention to detail.
Serve as a reliable resource for providers and support staff, addressing questions or updates regarding referral status, care coordination, and follow-up actions.
High school diploma or GED required; additional healthcare education a plus.
2–3 years of experience in a healthcare setting, preferably in referrals, billing, or front desk operations.
Strong communication skills and the ability to build professional relationships with physicians, patients, and external partners.
Proven experience handling managed care insurance, including Medicaid and commercial plans, and a deep understanding of authorization and verification requirements.
At Southeast Orthopedic Specialists, we’re dedicated to taking care of you, so you can take care of our patients. We offer a robust and rewarding benefits package that includes:
Comprehensive Health & Welfare Benefits
Monthly stipend for additional benefits of your choice
HSA with company match (available with qualifying HDHP plans)
401(k) with company match after six months (part-time employees included)
Employee Assistance Program (EAP) available 24/7
Employee Appreciation Days & Wellness Events
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