Referral Coordinator - MD071

About the role

The Referral Coordinator at NARA Northwest coordinates internal and external referrals to ensure patients/clients are successfully connected to specialty healthcare services and other appropriate resources. This position works closely with providers, billing staff, insurance companies, and other support staff to process and track referrals, maintain knowledge of insurance and grant benefits, ensure required documentation is sent, received, and added to the medical record, and coordinate care throughout the referral process.

Responsibilities

• Track referrals and documenting referrals and/or authorizations with the use of Athena.
• Understand insurance coverage benefits and limitations.
• Address client/patient inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for specialty care or other resources.
• Receive, respond to, and direct client/patient, provider, and insurance vendor phone calls. Provide available information upon request and escalate issues as appropriate.
• Maintain confidentiality per HIPAA guidelines.
• Obtain proper patient/client signature prior to notifying insurance of referral and/or authorization request.
• Determine insurance/grant eligibility and proceed with completion of referral/authorization paperwork when notified by NARA NW staff or EHR report of the need to obtain a referral/authorization on a patient/client.
• Cook up the process for receiving and sending referrals and/or authorizations.
• Follow up with referrals to determine if completed and ensuring documentation is obtained from the receiving provider or organization.

Requirements

This is an in-person position, Monday through Friday, 8:00am - 4:30pm. Wage Range: $26.00 – $30.00 hourly, non-exempt.

Qualifications

• High school diploma or equivalent.
• One year of experience in a healthcare setting preferred.
• Strong communication skills.
• Ability to work independently and manage multiple tasks simultaneously.
• Knowledge of insurance and grant benefits.
• Experience with HIPAA guidelines.

Skills

• Excellent interpersonal and communication skills.
• Proficient in using Athena.
• Strong organizational and time management skills.
• Ability to handle confidential information.

Benefits

NARA Northwest offers a supportive work environment where every team member is valued and respected. We provide a comprehensive benefits package including health, dental, vision, and life insurance, as well as paid time off and professional development opportunities.

Pay

$26.00 – $30.00 hourly, non-exempt.

Schedule

This is an in-person position, Monday through Friday, 8:00am - 4:30pm.