Referrals Coordinator

Job Summary and Responsibilities

As our Referrals Coordinator, you will act as the primary point of contact for patient transitions, ensuring seamless communication between healthcare providers, specialists, and insurance networks. You will play a pivotal role in our patient care team by managing the end-to-end referral process, maintaining accurate electronic health records (EHR), and optimizing administrative workflows to improve overall patient outcomes. By bridging the gap between primary care and specialty services, you will help us maintain our reputation for excellence in coordinated patient care.

Every day you will facilitate the timely processing of outgoing and incoming medical referrals, verifying insurance eligibility, and obtaining necessary prior authorizations to prevent service delays. You will monitor referral status tracking systems, engage in proactive follow-ups with specialists, and communicate critical updates to both patients and clinical staff. Your daily responsibilities will also include meticulous data entry, managing high-volume scheduling requests, and ensuring all documentation remains strictly compliant with HIPAA regulations and organizational policies.

To be successful in this role, you will possess a strong background in medical administration or healthcare coordination, coupled with a deep understanding of medical terminology and insurance billing processes. You are a detail-oriented professional with exceptional multitasking abilities and a talent for building rapport with patients and clinical stakeholders. Proficiency in EHR software, strong analytical skills to resolve authorization hurdles, and the ability to thrive in a fast-paced clinical environment are essential to helping our team provide efficient, high-quality patient-centered care.

• Processes referral orders and/or pre-authorizations.
• Coordinates appointments and ancillary services.
• Responds to patient questions regarding routine billing and insurance matters.
• Coordinates patient instructional/educational activities relevant to the patient’s referral. 
• Coordinates purchase of materials and/or the rental of medical equipment relevant to the patient’s referral.

Job Requirements

Required

• Other Successful completion of an accredited medical terminology course(s) or Equivalent on the job training, and two years of progressively responsible work experience in patient scheduling/registration, insurance verification, financial counseling, or related function., upon hire
• None, upon hire

Where You’ll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.