What are the responsibilities and job description for the Medical Authorization Specialist & Referral Coordinator position at Options Consulting PLLC?
Job Overview
Options Consulting PLLC is a growing medical and behavioral health practice specializing in the care of injured workers. We are seeking an experienced, dependable, and detail-oriented Medical Authorization Specialist & Referral Coordinator to join our team.
This position plays an important role in coordinating patient care by managing referrals, obtaining treatment authorizations, tracking pending requests, and communicating with healthcare providers, insurance representatives, claim managers, and patients. The ideal candidate is highly organized, proactive, and comfortable managing multiple priorities while ensuring that details are not overlooked and tasks are completed accurately and on time.
We are looking for someone who takes ownership of their responsibilities, follows through without constant reminders, communicates professionally, and works collaboratively with the team to keep our practice running smoothly.
Responsibilities
Referral & Authorization Coordination
- Process incoming referrals and coordinate the scheduling of new and established patients.
- Obtain, submit, and track prior authorizations for medical and behavioral health services.
- Communicate with insurance carriers, Washington State L&I claim managers, self-insured employers, and other relevant parties regarding referrals, authorization requirements, and claim-related documentation.
- Monitor pending authorizations and referrals, follow up on outstanding requests, and proactively address delays or missing information.
- Verify that required referrals, authorizations, and supporting documentation are obtained and properly recorded before services are provided, as applicable.
- Maintain accurate, detailed records of referral status, authorization requests, follow-up communications, and outstanding items.
- Collaborate with providers and clinical staff to resolve authorization issues and facilitate timely patient care.
Scheduling & Front Office Support
- Greet and check in patients and provide professional, courteous customer service.
- Register patients, maintain accurate demographic information, and schedule appointments.
- Answer incoming calls and respond to inquiries from patients, healthcare professionals, and other business contacts in a timely and professional manner.
- Communicate scheduling changes, relay messages, and help maintain an efficient patient flow.
- Assist with general medical office administrative duties, including faxing, scanning, uploading documents, and maintaining electronic records.
- Help maintain a clean, organized, and professional office environment.
Administrative & Team Support
- Maintain organized electronic records and ensure documentation is complete and accurately entered into the practice management system.
- Use office technology and software efficiently to manage daily responsibilities.
- Communicate effectively with team members, identify issues that require follow-up, and help improve administrative workflows.
- Provide cross-coverage for other administrative functions as needed.
- Enjoys being part of a collaborative team and contributing to quality patient care.
Join Our Team
If you are an organized, proactive medical administrative professional who enjoys coordinating care, solving problems, and keeping complex processes on track, we would love to hear from you.
This job description is intended to provide a general overview of the position and is not an exhaustive list of responsibilities, qualifications, or benefits. Duties may evolve based on the needs of the practice.
Pay: $27.00 - $33.00 per hour
Expected hours: 40.0 per week
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
Salary : $27 - $33