Referral Coordinator II

2 weeks ago

Salem, United States Northwest Human Services, Inc. Full time
Position Overview

Salary: Dependent on Experience

Northwest Human Services, Inc. is a prominent non-profit organization dedicated to delivering advocacy, high-quality healthcare, and social services in Marion and Polk counties since 1970. Our mission-driven approach focuses on providing compassionate and professional medical, dental, psychiatric, mental health, and comprehensive services to the most vulnerable members of our community, including uninsured individuals, families, the homeless, and migrant workers. As a Community Health Center, we prioritize a culture of equity, diverse perspectives, and life experiences, embracing innovation, collaboration, and work-life balance.

Role: Referral Specialist II

Location: West Salem Clinic

Employment Status: Full-Time, Monday - Friday

Key Responsibilities:

  • Oversee the referral requests to ensure timely processing.
  • Assist in training new personnel within the referral department.
  • Serve as a backup for the Referral Specialist II during their absence.

Specific Duties Include:

  • Secure preauthorization from HMO/insurance providers or other third-party payers for services rendered to patients at external locations.
  • Obtain preauthorization for medications with appropriate documentation for prescriptions issued to medical and mental health patients.
  • Coordinate appointment scheduling and interpreter services.
  • Keep healthcare providers informed throughout the referral process.
  • Respond promptly to patient inquiries regarding referrals.
  • Facilitate communication and problem-solving between patients, specialists, and insurance companies.

Qualifications:

  • High school diploma or equivalent.
  • Proficient in medical terminology and able to write clearly.
  • Current understanding of insurance coverage, pre-authorization, and referral processes.
  • Ability to interact courteously and effectively with the public, both in person and via telephone.
  • Strong communication skills and the ability to work collaboratively across all clinic areas while exercising independent judgment.

Benefits Overview: Our organization is committed to offering a comprehensive and competitive benefits package.

  • Competitive Salary
  • Comprehensive Health Plans: Medical with multiple options
  • Dental & Vision Coverage
  • Flexible Spending Account
  • Group Life Insurance: Short-Term & Long-Term Disability fully covered by the employer
  • 403(b) retirement plan with employer matching
  • Paid Time Off - 10 hours monthly for full-time positions
  • 7.5 paid holidays annually plus 2 floating holidays for full-time positions
  • Continuing Education & Training Opportunities
  • Employee Wellness Program – Gym Membership & Smoking Cessation Support

All candidates receiving a written employment offer will be required to undergo a criminal background check.

Equal Opportunity Employer | We celebrate diversity and are committed to fostering an inclusive environment for all employees.

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