Referral Coordinator - Family Practice
PeaceHealth
**Description**
**PeaceHealth is seeking a Referral Coordinator - Family Practice for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $26.49 – $35.75. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.**
**DETAILS OF THE POSITION:**
+ Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre-authorization for patients and reauthorization of additional treatment. Ensures insurance carrier (including Medicare) documentation requirements are me and referral support documentation is filed in patient’s medical record.
+ Efficiently manages correspondence with patients, physicians, specialists, insurance companies. Documents pertinent information on referral form and/or in medical record. Ensures practitioners are following standardized guidelines as recommended by evidenced based medicine.
+ Communicates with billing staff and third-party payors to assure coverage of patient care.
+ Performs other duties as assigned.
**WHAT YOU BRING**
+ Accredited School Preferred: Business. or two years college.
+ Preferred: . Medical Assistant, Licensed Practical nurse, or Registered Nurse.
+ Minimum of 3 years Required: Experience working in insurance in a medical related field, or other related experience.
+ Preferred: National Certified Medical Assistant or
+ Preferred: Licensed Practical Nurse - Alaska or
+ Preferred: Registered Nurse.
+ Demonstrated experience in insurance requirements for referrals and /or prior authorizations to various therapies (PT, RT, OT, ST), surgeries, procedures, diagnostic testing, and infusions. GYN procedures, testing, etc (Required)
+ Proficient with MS Office applications (Required)
+ Proficient with Horizon Home Care (Required)
+ Experience/Training: Minimum of two years’ experience working in insurance in a medical related field or other related field.
+ Will provide administrative support to RN and Pharmacist in case management.
+ Will perform duties of Patient Access Representative
PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) .
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.
REQNUMBER: 103893
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