What are the responsibilities and job description for the Referral Coordinator - Family Practice position at PeaceHealth?
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.
- 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 .
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.
Salary : $26 - $36
