Authorization and Referral Coordinator

Panorama

. Verify the need for prior authorization for scheduled procedures, diagnostic tests, and specialty services .

Posted 10/9/2026full-timeFort Collins • Colorado • United StatesJuniorMid-Level💰 $20 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorization processes, including submission, tracking, and communication with patients and providers. Proficient in EHR systems and knowledgeable in coding standards such as CPT, ICD-10, and HCPCS.

Highest-signal resume keywords

Prior Authorization ExperienceEHR ProficiencyKnowledge of CPT, ICD-10, and HCPCS CodesStrong Communication SkillsMedical Billing or Coding Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior AuthorizationReferral ManagementDocumentation AccuracyClaims ResolutionWorkflow Management

Soft Skills

Organizational SkillsProblem-Solving SkillsPatient Education

Tools & Technologies

EHR SystemsPractice Management SystemsPayer PortalsNextGen

Certifications & Qualifications

CPCCCA

Industry Keywords

MedicaidMedicareCommercial PayersHIPAA Compliance

About the role

Key responsibilities & impact

Verify the need for prior authorization for scheduled procedures, diagnostic tests, and specialty services
Submit authorization requests with complete and accurate documentation
Monitor authorization status and follow up with payers for timely approvals
Communicate authorization outcomes to patients, providers, and scheduling staff
Confirm referral requirements based on insurance plans and provider contracts
Request and obtain referrals from primary care providers or referring specialists
Track referral approvals and maintain documentation in the EHR system
Inform patients about authorization and referral requirements before appointments
Provide updates on pending or denied authorizations and assist with next steps
Educate patients on insurance processes and address concerns
Collaborate with scheduling, clinical, and billing teams to prevent delays
Assist medical billers in resolving claims denied for lack of authorization or referral
Provide updates on payer requirements and process changes
Document authorization and referral activities in the EHR system
Maintain logs and generate authorization and referral metrics reports
Address issues such as incorrect coding or missing documentation
Escalate complex cases to supervisors as needed

Requirements

What you’ll need

High school diploma or GED required
Associate’s degree in Healthcare Administration, Business, or related field preferred
Minimum 2 years of experience in prior authorization, referrals, or healthcare administrative support
Strong understanding of Medicaid, Medicare, and commercial payers' policies
Proficiency in EHR and practice management systems
Knowledge of CPT, ICD-10, and HCPCS codes
Excellent verbal and written communication skills
Ability to address and resolve authorization and referral issues efficiently
Strong organizational skills to manage high-volume workflows accurately
Certification in medical billing or coding (e.g., CPC, CCA) preferred
Experience with payer portals and authorization tools is a plus
Experience with NextGen a plus
Compliance with HIPAA and organizational policies for handling patient information

Benefits

Comp & perks

PTO accruals start at 3 weeks
Comprehensive medical and dental insurance
Company-paid optical allowance
Company-paid routine eye care
Short-term and long-term disability insurances
Educational allowance
Paid holiday program
401K with company match