Referral Coordinator I

Initiate and process clinical referrals and authorization requests following established procedures. Serve as a liaison between hospitals, health plans, physicians, and patients to support referral coordination. Review referrals for completeness and accuracy, contacting physician offices as needed to obtain demographic information. Verify insurance coverage, initiate pre-authorization requests per payer requirements, and enter all data into the system. Escalate complex referral issues or authorization concerns to senior coordinators or leadership. Requires a Medical Assistant certificate and one year of healthcare administrative experience.