Referral Coordinator

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

• The Customer Service Coordinator supports the hospital or clinic’s front-end patient access operations by managing pre-certification, insurance verification, and financial clearance for scheduled and emergency admissions. This role ensures accurate and timely data entry, provides patients and families with necessary information, and facilitates smooth transitions throughout the registration process. The Coordinator acts as a liaison between patients, physicians, clinical departments, and payers to support optimal service and financial outcomes.

Essential Functions

• Obtains and verifies demographic, insurance, and clinical information in the registration system with accuracy and timeliness
• Coordinates insurance benefit verification and obtains pre-certifications/authorizations for inpatient and outpatient procedures
• Meets with patients or caregivers pre- or post-admission to provide guidance, explain financial obligations, and resolve issues
• Collects co-pays, deductibles, or arranges for financial counseling referrals as needed
• Communicates with physician offices, case management, and clinical staff to determine patient placement and coverage status
• Documents all communications, verifications, and authorization data in the system
• Collaborates with case management on medical necessity reviews and patient status updates
• Assists in other patient access functions including scheduling, registration, and cashiering
• Maintains confidentiality and complies with HIPAA and organizational policies

Knowledge/Skills/Abilities/Expectations

• Strong critical thinking and problem-solving skills
• Ability to work independently in a fast-paced, high-pressure environment
• Excellent customer service, interpersonal, and communication skills
• Familiarity with insurance plans, benefit structures, and authorization processes
• Proficiency in hospital registration systems and Microsoft Office

Education

• High School Diploma or equivalent (Required)

Licenses/Certifications

• None required

Experience

• Experience in healthcare registration, patient access, or revenue cycle operations (Preferred)