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Referral Coordinator

2 months ago

Eugene, Oregon, United States PeaceHealth Full time

Job Summary:

PeaceHealth is seeking a skilled Referral Coordinator to join our team. As a Referral Coordinator, you will play a critical role in ensuring seamless communication between patients, physicians, and insurance providers.

Key Responsibilities:

  • Manage referral data entry and completion of referral forms/notifications, ensuring accurate and timely submission to insurance providers.
  • Obtain insurance pre-authorization for patients and reauthorization of additional treatment, adhering to insurance carrier documentation requirements.
  • Efficiently manage correspondence with patients, physicians, specialists, and insurance companies, documenting pertinent information on referral forms and/or in medical records.
  • Communicate with billing staff and third-party payors to ensure coverage of patient care.

Requirements:

  • Minimum of 3 years of experience working in insurance in a medical-related field or other related experience.
  • Preferred: National Certified Medical Assistant or Licensed Practical Nurse - Oregon or Registered Nurse.
  • Demonstrated experience in insurance requirements for referrals and/or prior authorizations to various therapies, surgeries, procedures, diagnostic testing, and infusions.
  • Proficient with MS Office applications and Horizon Home Care.

About PeaceHealth:

PeaceHealth is committed to the overall well-being of our caregivers, offering a competitive and comprehensive total rewards package, including full medical/dental/vision coverage, 403b retirement plan, paid time off, and more.

What We Offer:

  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A comprehensive benefits package.