Source Job

US Unlimited PTO

  • Collaborate with a multidisciplinary team to manage referrals, prior authorizations, and medical records for whole-person member care.
  • Apply knowledge of CPT/ICD-10 codes and insurance requirements to obtain authorizations, appeals, and follow up for positive outcomes.
  • Assist members with accessing services, provide personalized customer service, and track data to refine operational processes.

Prior Authorization Insurance Knowledge

20 jobs similar to Referral and Authorization Care Coordinator

Jobs ranked by similarity.

$45,000–$52,000/yr
US Unlimited PTO

  • Manage high-volume inbound communications across phone, email, chat, and SMS as the first point of contact for patients.
  • Schedule appointments and coordinate with GI Providers, Registered Dietitians, and Behavioral Health Providers.
  • Respond to billing and insurance questions, triage clinical inquiries, and de-escalate challenging interactions with empathy.

Oshi Health is a virtual digestive health practice transforming GI care by combining compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions. It is a remote-first, mission-driven high-growth startup with a focus on patient-centered care and team collaboration.

US

  • Handle referral coordination, appointment scheduling, insurance verification, and medical records requests for members.
  • Communicate updates to providers and members, ensuring world-class service and access to high-quality doctors.
  • Work collaboratively in a fast-paced virtual care team, managing multiple priorities with excellent attention to detail.

Included Health is a healthcare company that delivers integrated virtual care and navigation, breaking down barriers to provide high-quality care for everyone. The company offers care guidance, advocacy, and access to virtual and in-person care across various health needs.

US 16w PTO

  • Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
  • Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
  • Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.

CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.

US

  • Process referrals to MTM team and schedule appointments for patients.
  • Provide phone support and document patient information in electronic health records.
  • Assist with prior authorizations and billing to help patients access affordable medications.

UnityPoint Health is a healthcare system providing medical services. It is recognized as a Top 150 Place to Work in Healthcare and offers a supportive culture for team members.

Global

  • Answer inbound and outbound patient calls professionally and schedule appointments.
  • Verify insurance eligibility, assist with prior authorizations, and coordinate referrals.
  • Maintain accurate patient records in SimplePractice EHR and ensure HIPAA compliance.

The client operates in the behavioral health space and is focused on delivering high-quality patient-centered care. SnappyCX is a remote staffing company that connects healthcare professionals with US-based clients.

US Unlimited PTO

  • Provide expertise in prior authorization and implement the Inspire Prior Authorization Program.
  • Support patient intake, verify insurance, and manage prior authorization requests.
  • Train sites on program requirements and assist with appeals through External Medical Review.

Inspire Medical Systems is a medical device company dedicated to treating Obstructive Sleep Apnea with an innovative FDA-approved device. The company values a people-first culture, offering excellent benefits, 401k matching, and flexible time off, and is committed to diversity and patient outcomes.

Michigan

  • Manage referrals into and out of the clinic, including prior authorizations and medical records.
  • Efficiently schedule appointments, verify insurance, and update demographics for patients.
  • Use strong customer service and communication skills to operate in a fast-paced healthcare environment.

Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. The company employs thousands of staff who value excellence, teamness, positivity, and creativity in a beautiful region.

United States

  • Conduct benefit investigations, insurance verification, and prior authorizations to secure timely patient access to therapies.
  • Manage patient case files, coordinate product ordering and shipment with pharmacies and prescribers.
  • Handle inbound inquiries, report adverse events, and educate stakeholders on program requirements.

Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, objective candidate screening and share top-fitting shortlists with employers.

$120,000–$140,000/yr
US Unlimited PTO

  • Lead and develop the Care Coordination team, ensuring SLA targets are met across all patient communication channels.
  • Oversee the high-volume inbound patient chat queue, establishing coverage models, escalation protocols, and quality standards.
  • Create and maintain conversation guides and coaching materials that equip Care Coordinators to educate patients on programs, insurance coverage, and care pathways.

Oshi Health is a virtual digestive health practice on a mission to transform GI care by combining compassionate, multidisciplinary care with innovative technology. They are a remote-first, mission-driven team focused on improving patient lives and transforming GI care.

$20–$25/hr
US Unlimited PTO

  • Serve as the first point of contact for members, triaging communication and coordinating with Maternity Navigators.
  • Schedule and confirm visits, verify insurance, and maintain real-time visibility into care team schedules.
  • Build ongoing relationships with members through proactive outreach and help them access non-clinical supports like transportation and WIC.

Nadia Care is reimagining maternity care to improve pregnancy, birth, and postpartum outcomes for underserved communities, with a focus on Black, Brown, and Indigenous families. They are a small startup building trust-based engagement and wrap-around support for expectant mothers.

Global

  • Serve as a key point of contact for patients, coordinating scheduling, insurance verification, and follow-up activities.
  • Manage inbound and outbound calls, maintain accurate EMR records, and ensure HIPAA compliance.
  • Communicate with patients, providers, and insurance companies to deliver high-quality, patient-centered care.

SnappyCX provides customer support and administrative services to various industries. They operate with a remote team and emphasize a fast-paced, healthcare-focused environment.

Michigan

  • Manage referrals into and out of the clinic, including prior authorizations and medical records.
  • Efficiently schedule appointments and verify insurance and demographics.
  • Communicate effectively with all levels in a frequently stressful healthcare environment.

Munson Healthcare is northern Michigan's largest healthcare system, serving over half a million residents across 29 counties with eight hospitals. They emphasize community, values, and offer benefits like tuition reimbursement and generous PTO.

US

  • Coordinate care for adolescent and young adult patients, including outreach, chart scrubbing, and panel management.
  • Provide medical assistant duties and support the care team with referrals, follow-ups, and documentation.
  • Communicate with patients and families via phone, MyChart, and email to ensure compliance and care coordination.

Oregon Health & Science University is a public academic health center in Portland, Oregon, providing patient care, groundbreaking research, and training for healthcare professionals. It is the largest employer in Portland, operating hospitals and clinics across Oregon and Southwest Washington, and is committed to being an anti-racist, multicultural institution.

Arizona

  • Monitor a specific group of patients and support them in achieving short and long term health goals.
  • Coordinate with providers to ensure patients' needs are met through remote monitoring technology.
  • Manage patient onboarding, device setup, data management, and quality assurance for remote monitoring programs.

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130 medical providers, caring for more than 200,000 patients statewide. Their mission is to help communities 'Live Better, Live Longer' through personalized healthcare, with a focus on preventing leading causes of death.

US

  • Provide exceptional customer service and build rapport with patients.
  • Serve as the new patient scheduling liaison for 16 clinics and telehealth visits across 20+ states.
  • Manage and schedule new patient appointments and promptly respond to patient inquiries.

Aligned Modern Health is changing the face of healthcare with a holistic, multi-disciplinary model offering evidence-based solutions. The company has 16 clinics across Chicago and suburbs, provides telehealth services in over 20 states, and prides itself on outstanding clinical outcomes and a five-star patient experience.

US

  • Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
  • Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
  • Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.

Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.

$52,000–$65,000/yr
US Unlimited PTO

  • Support the end-to-end credentialing pipeline for OCN providers, coordinating day-to-day with our third-party credentialing vendor.
  • Track application status across payers and providers, flagging delays and at-risk timelines to internal stakeholders.
  • Maintain accurate, up-to-date tracking across credentialing operations and coordinate with RCM and Operations teams.

Osmind is a healthcare technology company purpose-built for psychiatric practices offering interventional treatments like Spravato, TMS, and ketamine. We are a Series B company with a small, high-trust team that moves fast and does meaningful work.

Ohio US

  • Facilitate conversations and collaboration between interdisciplinary care teams to ensure a seamless patient experience.
  • Support scheduling, make reminder calls, and handle operational tasks for the care coordination team.
  • Answer patient calls, escalate issues, and request necessary documentation from patients and providers.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They are a growing company with an interdisciplinary team that fosters an inclusive environment.

US

  • Handle inbound and outbound calls to ensure patient satisfaction, troubleshoot concerns, and explain insurance coverage.
  • Obtain and process authorizations for reorders, resolve patient issues, and ensure accurate reorder processing via phone and document processing.
  • Maintain patient documentation, insurance requirements, and company procedures with high confidentiality.

CCS is a strategic partner addressing America's healthcare challenges through intelligent chronic care management, focusing on diabetes and chronic conditions. Recognized as a Great Place to Work®, they support over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals.

US

  • Collaborate with a multidisciplinary care team to ensure quality, member-centered care and assist members with navigating and applying for entitlement benefits.
  • Become an expert on available insurance and social service resources within assigned region, and provide cross-state coverage support as needed.
  • Maintain timely documentation in electronic health records and participate in ongoing continuing education.

Groups provides assistance to members in accessing Medicaid, Marketplace, and Medicare insurance and other entitlement benefits. The company values member-centered care and harm-reduction practices, with a team-oriented and entrepreneurial culture.