Description

PeaceHealth is seeking a Referral Coordinator - Family Practice for a Per Diem/Relief, 0.00 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.

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. 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 (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: 106078