Patient Referral Representative - Ortho
Posted Oct 5, 2026 · We last checked this listing on Oct 6, 2026
Likely interview questions for this role
Written from this job description, not a generic list. Each one notes what the interviewer is really checking.
About your past
Tell me about a time you had to chase down missing information from another office or insurer.
What they are checking: Whether they follow through persistently instead of letting a referral sit.
Tell me about a time you kept your customer service strong on a stressful phone call.
What they are checking: Whether they stay professional with patients, insurers and offices all day long.
What would you do
An MRI authorization is denied the day before the scan. What do you do?
What they are checking: Whether they act quickly with the provider and patient and know options like peer-to-peer review.
A patient calls frustrated that their surgery cannot be scheduled until the authorization comes through. How do you respond?
What they are checking: Whether they can set clear expectations and keep patients informed without overpromising.
The insurer says the clinical notes do not meet criteria. How do you work with the provider?
What they are checking: Whether they can explain payer criteria to providers so documentation gets fixed quickly.
About the work
Walk me through how you decide whether an orthopedic procedure needs a prior authorization.
What they are checking: Whether they can research health plan rules accurately so procedures are not denied or delayed.
How do you work through an Epic referral work queue at the start of the day?
What they are checking: Whether they have a system for clearing open referrals to approved, closed or incomplete status.
What is the difference between a referral, a prior authorization and a pre-certification?
What they are checking: Whether they understand the terms the posting uses and can explain them to patients.
How do you make sure registration and insurance details are right before a referral moves forward?
What they are checking: Whether they see accurate registration as the step that prevents denials.
How do you keep track of referrals that are waiting on someone else so none slip through?
What they are checking: Whether they have reliable follow-up habits, since a lost referral delays a patient's care.
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As published by Endeavor Health.