Insurance Authorization Coordinator

Job Title: Referral Coordinator Location: Remote Reports To: Practice Operations Manager Who We Are Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care. We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes. At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners. Who You Are We are seeking a highly organized, empathetic, and detail-oriented Referral Coordinator with deep expertise with insurance prior authorization to support patient access and provider communication within our Ortho Pass program. You thrive in fast-paced environments, manage multiple priorities gracefully, and communicate clearly with patients, providers, and care teams. What You’ll Do Referral and Authorization Management 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. Scheduling & Workflow Support 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. Collaboration & Communication 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. What You’ll Bring We are always looking for new team members who will add to our company’s DNA and have a strong passion for impact. None of the following are strict requirements, but they describe qualities and skills that will help a candidate be successful in this role: Experience: 2–3 years processing insurance prior authorization referrals (REQUIRED) Communication: Excellent written and verbal communication skills; comfortable engaging patients and providers by phone and electronically. Organization: Strong time management and attention to detail; able to manage multiple patient cases simultaneously. Systems: Familiarity with EHR systems, referral management tools, and HIPAA compliance. Problem-Solving: Resourceful, proactive, and comfortable resolving scheduling or documentation barriers quickly. Empathy: Patient-centered approach with a calm and compassionate demeanor. Healthcare Knowledge (Preferred): Background in musculoskeletal, primary care, or specialty care coordination.

What We Offer

Direct Impact: Play a key role in helping patients access timely, high-quality orthopedic care. Collaborative Environment: Join a mission-driven team dedicated to innovation and patient experience. Competitive Benefits: Comprehensive health insurance, retirement plans, and paid time off. Growth Opportunity: Learn within a fast-growing, value-based care organization with pathways for advancement. Compensation: Yearly salary commensurate with experience. Employee-funded 401(k) We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based upon age, color, handicap or disability, ethnic or national origin, race, religion, religious creed, gender (including discrimination taking the form of sexual harassment), marital, parental or veteran status, sexual orientation, gender identity, or gender expression. Important Notice: Protect Yourself from Recruitment Fraud To ensure you are communicating with a legitimate Icon Health representative, please not Verified Communication: All official emails from our team will only come from an @iconhealthco.com email address. Live Interviews: We never hire based on text or chat alone. Our multi-stage interview process always involves several live conversations with our team members via phone and/or web conference. Your Privacy: We will never ask for sensitive financial information, home office equipment fees, or payment at any point during the hiring process. If you receive a suspicious request or an email from a different domain claiming to represent Icon Health, please do not engage