Referral and Prior Authorization Specialist

2 days ago


North Bend, Oregon, United States Southern Coos Hospital & Health Center Full time
Job Opportunity

Southern Coos Hospital & Health Center is seeking a skilled Referral & Prior Authorization Specialist to join our team.

This is a full-time onsite position that offers a competitive benefits package, including health, dental, vision, and basic life insurance. The ideal candidate will have a strong background in medical terminology, insurance terminology, and CPT and ICD-10 codes.

The successful candidate will be responsible for processing referrals and prior authorizations accurately and efficiently, providing excellent customer service to patients and healthcare providers, and ensuring that all necessary documentation is submitted for approval.

Key Responsibilities:

  • Process referrals and prior authorizations in a timely and accurate manner
  • Provide exceptional customer service to patients and healthcare providers
  • Ensure all necessary documentation is submitted for approval
  • Maintain strict confidentiality and attention to detail
  • Utilize Microsoft Office and online software to complete tasks

Requirements:

  • High school diploma or GED required
  • Two years of experience in a clinical office setting
  • Prior experience in referrals and prior authorization processing is highly desirable
  • Familiarity with medical terminology, insurance terminology, and CPT and ICD-10 codes
  • Understanding of Medicare, Medicaid, and commercial insurance plans' referral and prior authorization requirements

What We Offer:

  • Competitive salary and benefits package
  • Opportunity to work in a dynamic and supportive team environment
  • Professional growth and development opportunities

Southern Coos Hospital & Health Center is an Equal Opportunity Employer and does not discriminate against any candidate or employee. Women, minorities, veterans, people from the LGBTQ communities, and people with disabilities are encouraged to apply. Reasonable accommodation is available to access job openings or apply for a job.



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