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Description

PeaceHealth is seeking a Referral Coordinator for a Per Diem/Relief, Day position. The salary range for this job opening at PeaceHealth is $24.99 – $33.73. 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 And

+ 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 - Oregon 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)

For additional information or questions, please email Jen Worthington at [email protected] or call 360-448-0542.

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: 119059