Referral Coordinator at Pines Health Services

Caribou, Maine, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Jul, 26

Salary

0.0

Posted On

17 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Referral coordination, Patient support, Insurance authorization, Insurance appeals, Clinical practice, Computer proficiency, Communication, Problem solving, Task prioritization, Medical terminology, Documentation, Scheduling

Industry

Hospitals and Health Care

Description

Description Join a Fun, Engaging, and Hardworking Team! Voted one of the 2025 Best Places to Work in Maine, Pines Health Services is where you want to be. Pines has an immediate opening for a Referral Coordinator at our Caribou Health Center. Qualified candidates must demonstrate a strong commitment to our vision, mission, and goals while providing exceptional patient support. The ideal applicant is computer-proficient, communicates clearly both verbally and in writing, listens attentively, solves problems effectively, and can prioritize tasks while working both independently and professionally. Previous healthcare experience is preferred — but we are happy to train the right person. We encourage LPNs (Licensed Practical Nurses) and Medical Assistants with hands-on clinical practice to apply for this position. Preference will be given to candidates with strong clinical experience in healthcare. Referral Coordinator Responsibilities: Schedules all patient-physician referrals and most Radiology tests that require appointments/Insurance authorizations and notifies patients of the appointment dates. Processes all insurance referrals for most providers at Pines Health Services. Processes insurance appeals. Receives all phone calls regarding patient referrals in a courteous, accurate, and friendly manner. Completes paperwork for physician approval. Mails, faxes, and electronically sends appropriate paperwork to the referral physician’s office. Mails, faxes, transmits or calls in referral to the insurance company. Sees that all testing requisitions get faxed to the appropriate testing facility. Maintains appropriate physician and insurance log for each carrier. Maintains pending results and follow-up. Requirements Availability Requirements: Monday through Friday work schedule; occasional overtime as authorized. Education: High school or G.E.D. equivalent preferred. Contact: For the full job description or additional information, please contact Kelly at (207) 498-2356 ext. 2052 or akenney@pineshealth.org. Pines Health Services offers a competitive benefits package. You can view the complete details here: Pines Health Services Benefits. Pines Health Services is an Equal Opportunity Employer & Provider

Responsibilities

The Referral Coordinator is responsible for scheduling patient-physician referrals, processing insurance authorizations, and managing insurance appeals. They also handle patient communication, maintain logs, and ensure all testing requisitions are processed accurately.