Referral and Authorization Coordinator

The Referral and Authorization Coordinator plays a vital role in ensuring a seamless experience for patients and providers alike. This position manages 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.

Key responsibilities include verifying patient benefits and obtaining necessary referrals, authorizations, and precertifications for ambulatory visits, procedures, injections, and radiology services; utilizing web-based systems to confirm real-time insurance eligibility and update patient demographic and coverage details; preparing and maintaining patient charts daily; managing referrals and faxing forms promptly; efficiently processing 75–80 referrals per day with accuracy; and serving as a resource for providers and staff by addressing questions or updates regarding referral status, care coordination, and follow-up actions.

Qualifications include a high school diploma or GED (additional healthcare education a plus), 2–3 years of healthcare experience preferably in referrals, billing, or front desk operations, strong communication skills to build professional relationships, and proven experience handling managed care insurance including Medicaid and commercial plans with a deep understanding of authorization and verification requirements.

Why Join Southeast Orthopedic Specialists? They offer a robust benefits package including comprehensive health & welfare benefits, monthly stipend for additional benefits, HSA with company match (with qualifying HDHP plans), 401(k) with company match after six months (including part-time employees), Employee Assistance Program (EAP) available 24/7, and employee appreciation days & wellness events.