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Insurance Authorization Coordinator
Icon HealthReferral Coordinator managing insurance authorizations and patient referrals for Icon Health's Ortho Pass program. Ensuring effective communication and workflow coordination in a patient-centered environment.
About the role
Key responsibilities & impact- Set up process and workflow to obtain insurance prior authorizations (primary responsibility)
- Receive, track, and process incoming referrals from primary care providers and partner organizations.
- Process insurance authorizations for outbound referrals, including submitting documentation and managing denials or appeals.
- Verify insurance and referral information to ensure completeness, accuracy, and compliance.
- Communicate updates to referring providers and maintain clear, timely feedback loops to support continuity of care.
- Schedule patient appointments with OrthoPass clinicians, ensuring alignment between provider availability and patient needs.
- Manage scheduling logistics for urgent or complex cases requiring additional coordination.
- Maintain up-to-date and accurate records in the EHR and referral tracking systems.
- Partner closely with operations, clinical, and provider relations teams to ensure smooth handoffs and proactive issue resolution.
- Identify and escalate barriers to care access or workflow bottlenecks, recommending process improvements as needed.
- Support reporting and quality improvement initiatives related to referral timeliness, patient engagement, and access metrics.
Requirements
What you’ll need- 2–3 years processing insurance prior authorization referrals (REQUIRED)
- Excellent written and verbal communication skills; comfortable engaging patients and providers by phone and electronically.
- Strong time management and attention to detail; able to manage multiple patient cases simultaneously.
- Familiarity with EHR systems, referral management tools, and HIPAA compliance.
- Resourceful, proactive, and comfortable resolving scheduling or documentation barriers quickly.
- Patient-centered approach with a calm and compassionate demeanor.
- Background in musculoskeletal, primary care, or specialty care coordination (Preferred).
Benefits
Comp & perks- Comprehensive health insurance
- Retirement plans
- Paid time off
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance prior authorization processingreferral managementdocumentation managementinsurance verificationscheduling logisticsquality improvement initiativespatient engagement metrics
Soft Skills
written communicationverbal communicationtime managementattention to detailproblem-solvingresourcefulnessproactive approachpatient-centered approachcalm demeanor