Referrals Coordinator

• Processes referral orders and/or pre-authorizations.

  • Ensures that insurance eligibility checks have been conducted on all referrals before the patient is seen, either by escalating to the Insurance Verifier, or by directly checking on eligibility.
  • Completes referrals and/or pre-authorization, before the patient is seen, for diagnostic testing, therapy, surgeries, procedures and specialty care according to requirements and patient preference.
  • Provides information to patients regarding their health care plan; interprets and communicates plan policies and procedures to employees, physicians and members (patients).
  •  Provides patients with answers to billing and insurance clarification questions; obtains a cost estimate when requested and explains insurance benefit coverage to patient.
  • Notifies physician(s) and patient when referral is denied or if a second opinion or additional info is needed.
  • Updates the patient’s medical record as necessary. Copies/scans documents into correct location within electronic medical record.
  • May interact with referring clinic to ensure successful coordination of patient care.
  • Coordinates appointments and ancillary services.
  • Coordinates patient clinic visits based on authorized referral in accordance with established standards and procedures; gathers and documents insurance eligibility data, conducting routine verifications that can be done quickly during conversation; enters data in patient’s electronic medical record as appropriate.
  • Identifies patients requiring contact to confirm a referral appointment; contacts patient in accordance with established procedures.
  • Contacts and follows up with patients to reschedule a missed/cancelled appointment; documents reason(s) for no-show in accordance with established procedures; notifies managementf if patient has violated a policy and further action is required.
    Responds to patient questions regarding routine billing and insurance matters.
  • Provides basic information in response to patient questions on billing and insurance matters; obtains a non-complex cost estimate when requested; refers questions regarding more complex cost estimates/benefits information to Financial Counselor.
  • Coordinates patient instructional/educational activities relevant to the patient’s referral.
  • Works with clinic team, patients and/or employers to ensure that patients receive adequate instructions and information regarding educational opportunities relevant to the patient’s referral; provides information to patients regarding their referral appointment and service for testing, financial policies, registration requirements, etc.
  • Provides patient with pre-visit prep materials; packages materials to correspond with type/nature of patient appointment and sends to patient in a timely manner.
  • Coordinates purchase of materials and/or the rental of medical equipment relevant to the patient’s referral.
  • Follows up with patients when equipment return is due.

  As a part of our organization, we currently offer the following additional benefits:

  • Competitive starting wages (DOE) and training to grow within the company
  • Paid holidays, vacation and sick time
  • Medical/Dental/Vision Insurance plans
  • Flexible health spending accounts: DCFSA and FSA
  • Health Savings Account - (HSA) for use with the high deductible health plan
  • Short and long term disability programs
  • Employer paid life insurance
  • 401a and 403b retirement programs
  • Tuition Assistance for career growth and development
  • Bright Horizons programs for additional support with children, pets, dependent adults, and household needs
  • Employee Assistance Program (EAP) for you and your family
  • Voluntary Protection: Group Accident, Critical Illness, and Identify Theft

• Successful completion of an accredited medical terminology course(s) upon hire ore quivalent on the job training Required and one year of progressively responsible work experience that would demonstrate attainment of the requisite job knowledge/abilities.

• Required and Work experience in patient scheduling/registration,insurance verification, referral coordination, financial counseling or related function

Just as Virginia Mason is dedicated to improving the lives of our patients and our community, we are equally dedicated to your professional and personal success. With a wide range of perks that includes comprehensive compensation and benefits, continuing education and support, and the opportunity to live in one of the most livable cities in the country, you will find that an opportunity with Team Medicine is one worth taking. Virginia Mason Medical Center, was recognized among the Best Hospitals in Washington state by U.S. News & World Report. Located in Seattle, WA, Virginia Mason is an internationally recognized leader in the continuous improvement of health care. With an extensive list of awards and distinctions that includes our recognition as Top Hospital of the Decade by The Leapfrog Group, Virginia Mason offers you the opportunity to partner with exceptionally talented peers at every level. You will contribute to the strength of our Team Medicine approach to collaborative medicine and benefit from the changes enacted through our Virginia Mason Production System, a model that has transformed health care by providing patients with easier access to care, reducing errors, and continuously innovating patient safety and quality that has been adopted by other organizations here and abroad. Join us, and find out how many ways Virginia Mason offers you the chance to focus on what really matters - our patients.

We deliver inspired people to do meaningful work.

We are an equal opportunity/affirmative action employer.

Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state  CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.  While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!