Referral Management Coordinator

Franciscan Health

. Process internal, incoming, and external referrals for all ambulatory services .

Posted 10/26/2026full-timeRemote • United StatesJuniorMid-Level💰 $19 - $24 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in processing medical referrals and prior authorizations while ensuring compliance with insurance requirements. Proficient in managing patient scheduling and communication effectively.

Highest-signal resume keywords

Medical Referrals ProcessingPrior Authorization ExpertisePatient SchedulingInsurance CommunicationHealthcare Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Referral PoliciesDemographic Information ManagementClinical Information ReviewInsurance Approval ProcessesMedical Necessity Presentation

Soft Skills

Timely ResponseEffective CommunicationOrganizational Skills

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Ambulatory ServicesHealthcarePatient ResponsibilityCopaymentsPrepayments

About the role

Key responsibilities & impact

Process internal, incoming, and external referrals for all ambulatory services
Follow and utilize current standardized referral policies and workflows
Prioritize referrals by urgency and address them in a timely manner
Ensure complete demographic, insurance, and pertinent clinical information is sent to referred specialists
Contact insurance companies to ensure prior approval requirements are met
Present medical history, diagnosis, and prognosis to insurance companies when necessary to establish medical necessity
Review referral details and expectations with ordering providers and patients
Discuss patient responsibility for copayments, prepayments, and outstanding balances

Requirements

What you’ll need

High School Diploma/GED required
2 years medical referrals, healthcare, and/or prior authorization required
Ability to obtain prior authorizations
Ability to schedule patients and handle inbound and outbound phone calls
Travel is never or rarely required

Benefits

Comp & perks

Comprehensive benefit offerings for eligible employees