Referral Specialist- Limited Duration

Location Site: Salem Hospital Main Campus - **This is a 70% Remote position after initial training period** Must Reside in Oregon.

Department: SH Financial Clearance

Position Type: Full Time

Start Time: 7:00am Monday - Friday

**This is a 70% Remote position after initial training period** Must Reside in Oregon.

Salem Health Overview

Pioneering healthcare since 1896, Salem Health is a top workplace offering highly competitive pay where you can make a difference in the lives of those in the community where you live. Through incorporation of Lean driven principles, staff are able effect change in the organization to solve problems, and drive continuous improvement.

As an employer of choice, we are devoted to assuring that we provide a safe, healthy, and patient-centric workplace, while keeping staff wellbeing and satisfaction top of mind.

We invite you to learn more about our wonderful community: There’s something about Salem, Oregon!

Your Role With Us:

Financial Clearance Referral Specialist

Primary Functions:

1. Submit notification of admission, status change, and discharge to payors following payor timeline requirements to ensure reimbursement.

2. Verify insurance benefits coverage for healthcare services by utilizing a variety communication means (e.g., fax, telephone, etc.). Obtain appropriate authorizations/referrals according to payor requirements. Identify potential medical necessity concerns and potential patient class (inpatient only) concerns. Collaborate with Care Management and others to resolve concerns.

3. Review admission records for accuracy and completeness. Obtain missing information as needed. Correct /update patient records, as needed, to ensure an accurate electronic medical and financial record.

4. Verify and address missing authorization for Outpatient Procedures.

5. Complete work queues daily to correct any errors with patient registrations.

6. Research and respond to all queries on reimbursement denial notifications from insurance payors within three (3) business days.

Background/Expertise:

• Minimum of one (1) year of experience in an admitting office, clinic, physician or insurance office performing patient registration and insurance verification required.
• Minimum of two (2) years of experience in patient registration and insurance verification or medical insurance billing required.
• National Healthcare Access Management or Certified Healthcare Access Associate (NHAC-CHAA) preferred
• Previous EPIC Prelude and Cadence experience a plus.

Special Skills, Knowledge and Abilities:

• Intermediate knowledge of medical terminology.
• Excellent public relations/customer service skills.
• Keyboarding at 45 wpm.
• Strong organizational skills and the abilities to prioritize work and manage time.
• Ability to maintain confidentiality of all information related to patients, medical staff, and other information, as appropriate.
• Familiarity with contractual nature of HMO and/or PPO insurance plans, Medicare and Medicaid, commercial, workers compensation, and other 3rd party payors.

Total Rewards Offerings:

Salem Health's comprehensive benefits package prioritizes your mental and physical health, financial stability, family obligations and professional growth.

• Relocation assistance available for qualified positions
• Full comprehensive medical, dental, and vision plans
• Basic and voluntary life insurance
• Short and long-term disability
• Live Well Wellness Program
• Employee Assistance Program (EAP)
• 401(K) retirement plan with employer contributions.
• Generous paid time off (PTO) accrual and holiday pay
• Onsite fitness center with 24/7 badge access
• Education assistance program
• Public service loan forgiveness (PSLF) eligible employerhttps://studentaid.gov/
• Food and drink discounts in the cafeteria.
• Impressive discounts offered by Nike, Adidas, Carhartt and others.

Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law.

Salem Health Hospitals and Clinics is committed to providing access, equal opportunity and reasonable accommodation for applicants. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact my.recruiter@salemhealth.org