Authorization & Referral Coordinator - Healthcare Account

Position Summary

The Authorization & Referral Coordinator is responsible for overseeing key administrative functions that enable timely access to medical services. This role focuses on coordinating insurance approvals, validating patient coverage, and managing referral workflows to ensure appointments and procedures proceed without delay. By working closely with providers, clinics, and insurance partners, the coordinator helps improve operational efficiency, patient satisfaction, and reimbursement outcomes.

Core Duties and Responsibilities

Referral Coordination & Authorization Processing

• Assess daily outpatient and surgical schedules to determine authorization and referral requirements.
• Organize and prioritize referrals based on medical urgency, scheduling needs, and payer timelines.
• Obtain prior approvals for specialty consultations, diagnostic testing, procedures, and ambulatory surgery services.
• Manage pre-oper...