Referral Coordinator
2 days ago
We are seeking a skilled Referral Coordinator to join our team at PeaceHealth. As a key member of our healthcare team, you will be responsible for ensuring seamless referrals and authorizations for our patients.
Key Responsibilities- Oversee data entry and completion of referral forms/notifications
- Obtain insurance pre-authorization for patients and reauthorization of additional treatment
- Ensure insurance carrier documentation requirements are met and referral support documentation is filed in patient's medical record
- Manage correspondence with patients, physicians, specialists, and insurance companies
- Communicate with billing staff and third-party payors to ensure coverage of patient care
- Accredited School of Business or two years college preferred
- Minimum of 3 years experience working in insurance in a medical related field, or other related experience
- National Certified Medical Assistant, Oregon Licensed Practical Nurse, or RN, preferred
- 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 required
- Proficient with Horizon Home Care required
PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions, wellness benefits, discount program, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
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