Referral Specialist (Full-time, Days)
Core
Coordinate scheduling for diagnostic imaging, specialty testing, and physician referrals while obtaining insurance authorizations and pre-certifications.
Role type
Authorization & Scheduling Coordinator
Builds
Diagnostic imaging, specialty testing, and referral services
Domain
Healthcare / Medical Administration
Deliverable
dashboards & analysis
Required skills
Insurance authorization, EMR navigation, patient communication, scheduling coordination, medical documentation review, payer interaction
Preferred skills
Medical terminology, orthopedic terminology, diagnostic imaging knowledge, EMR/EHR experience, insurance carrier familiarity
Responsibilities
Coordinate scheduling for diagnostic imaging, specialty testing, and physician referrals; Obtain insurance authorizations and pre-certifications; Review physician orders and medical documentation for accuracy; Communicate with physicians, patients, and insurance companies; Document authorization and patient information in EMR; Assist self-pay and out-of-network patients with financial resources.
Seniority
Entry-level to Junior