Healthcare Outcomes Performance Co. (HOPCo)
Referral and Authorization Coordinator
Healthcare Outcomes Performance Co. (HOPCo), Folsom, Pennsylvania, United States
Overview
Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled
Referral and Authorization Coordinator
to join our team in
Ridley Park/Folsom, PA . As two of the region’s most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.
Position Summary The Referral and Authorization Coordinator is responsible for verifying patient information, obtaining authorizations, and facilitating seamless access to care. This position supports both patients and providers by coordinating insurance requirements and ensuring accurate registration and referral processing. This is a full-time position with a standard Monday through Friday schedule.
Key Responsibilities
Verify and update patient registration information in the practice management system
Obtain benefit verification and necessary authorizations (referrals, precertifications) for ambulatory visits, procedures, injections, and radiology services
Use online verification systems and review real-time eligibility responses to ensure insurance accuracy
Create referrals and attach them to pending visits, faxing forms to providers and insurance companies as needed
Verify patient demographics, insurance eligibility, and coordination of benefits
Complete chart prepping tasks to ensure smooth patient check-in processes
Research information needed to complete registration, including coordinating with providers, ancillary staff, and patients
Review and notify front office staff of outstanding patient balances
Respond to provider and staff inquiries regarding referral status, care coordination, and follow-up
Maintain satisfactory productivity and work queue goals while ensuring timely claims reimbursement
Index referrals to existing patient accounts and create new patient accounts for non-established patients
Identify trends and communicate potential issues to the management team
Qualifications Education
High school diploma or GED required; equivalent working knowledge considered
Licenses & Certifications
None required
Experience
Minimum of 2–3 years of experience in a healthcare environment, preferably in a referral, front desk, or billing role
Must have experience with managed care insurances, requesting referrals, obtaining authorizations, and verifying insurance benefits
Knowledge of insurance plan requirements for Medicaid and commercial plans
Working knowledge of eligibility verification, prior authorizations, and government billing guidelines including Coordination of Benefits
Advanced computer skills, including proficiency with Windows-based programs
Experience with Allscripts Practice Management and EMR preferred
Compensation & Benefits
Comprehensive benefits package including medical, dental, and vision plans
100% employer-paid life insurance
401(k) retirement plan with employer match
Benefits begin the first of the month following hire date (for full-time employees)
Generous paid sick and vacation time
7 paid holidays annually
Opportunities for growth and advancement
Employee referral reward program
About Premier Orthopaedics & Philadelphia Hand To Shoulder Premier Orthopaedics and Philadelphia Hand to Shoulder Center (PHSC) are leading providers of comprehensive musculoskeletal care throughout Pennsylvania, New Jersey, and Delaware.
Premier Orthopaedics delivers expert treatment for orthopedic injuries, joint disease, interventional spine care, regenerative medicine, and comprehensive physical therapy services, supported by more than 150 providers across 50+ locations. Facilities include state-of-the-art MRI centers, outpatient surgery centers, physical therapy clinics, and orthopedic urgent care centers to ensure timely access to high-quality, patient-focused care.
Philadelphia Hand to Shoulder Center (PHSC), a division of Premier Orthopaedics, has been nationally recognized for more than 50 years for its specialized care of the hand, wrist, elbow, arm, and shoulder. Our fellowship-trained surgeons and certified Hand and Occupational Therapists collaborate to provide seamless care—from diagnosis and treatment to post-operative and rehabilitative recovery. With 14 convenient locations across Pennsylvania and New Jersey, PHSC offers advanced, integrated care to restore function, mobility, and quality of life for patients with upper extremity conditions.
#J-18808-Ljbffr
Referral and Authorization Coordinator
to join our team in
Ridley Park/Folsom, PA . As two of the region’s most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.
Position Summary The Referral and Authorization Coordinator is responsible for verifying patient information, obtaining authorizations, and facilitating seamless access to care. This position supports both patients and providers by coordinating insurance requirements and ensuring accurate registration and referral processing. This is a full-time position with a standard Monday through Friday schedule.
Key Responsibilities
Verify and update patient registration information in the practice management system
Obtain benefit verification and necessary authorizations (referrals, precertifications) for ambulatory visits, procedures, injections, and radiology services
Use online verification systems and review real-time eligibility responses to ensure insurance accuracy
Create referrals and attach them to pending visits, faxing forms to providers and insurance companies as needed
Verify patient demographics, insurance eligibility, and coordination of benefits
Complete chart prepping tasks to ensure smooth patient check-in processes
Research information needed to complete registration, including coordinating with providers, ancillary staff, and patients
Review and notify front office staff of outstanding patient balances
Respond to provider and staff inquiries regarding referral status, care coordination, and follow-up
Maintain satisfactory productivity and work queue goals while ensuring timely claims reimbursement
Index referrals to existing patient accounts and create new patient accounts for non-established patients
Identify trends and communicate potential issues to the management team
Qualifications Education
High school diploma or GED required; equivalent working knowledge considered
Licenses & Certifications
None required
Experience
Minimum of 2–3 years of experience in a healthcare environment, preferably in a referral, front desk, or billing role
Must have experience with managed care insurances, requesting referrals, obtaining authorizations, and verifying insurance benefits
Knowledge of insurance plan requirements for Medicaid and commercial plans
Working knowledge of eligibility verification, prior authorizations, and government billing guidelines including Coordination of Benefits
Advanced computer skills, including proficiency with Windows-based programs
Experience with Allscripts Practice Management and EMR preferred
Compensation & Benefits
Comprehensive benefits package including medical, dental, and vision plans
100% employer-paid life insurance
401(k) retirement plan with employer match
Benefits begin the first of the month following hire date (for full-time employees)
Generous paid sick and vacation time
7 paid holidays annually
Opportunities for growth and advancement
Employee referral reward program
About Premier Orthopaedics & Philadelphia Hand To Shoulder Premier Orthopaedics and Philadelphia Hand to Shoulder Center (PHSC) are leading providers of comprehensive musculoskeletal care throughout Pennsylvania, New Jersey, and Delaware.
Premier Orthopaedics delivers expert treatment for orthopedic injuries, joint disease, interventional spine care, regenerative medicine, and comprehensive physical therapy services, supported by more than 150 providers across 50+ locations. Facilities include state-of-the-art MRI centers, outpatient surgery centers, physical therapy clinics, and orthopedic urgent care centers to ensure timely access to high-quality, patient-focused care.
Philadelphia Hand to Shoulder Center (PHSC), a division of Premier Orthopaedics, has been nationally recognized for more than 50 years for its specialized care of the hand, wrist, elbow, arm, and shoulder. Our fellowship-trained surgeons and certified Hand and Occupational Therapists collaborate to provide seamless care—from diagnosis and treatment to post-operative and rehabilitative recovery. With 14 convenient locations across Pennsylvania and New Jersey, PHSC offers advanced, integrated care to restore function, mobility, and quality of life for patients with upper extremity conditions.
#J-18808-Ljbffr