Referral Specialist- Surgery Clinic 70% Remote

Location Site: Salem Hospital Main Campus - Partial Remote Position (30% Onsite/70% Remote)

Department: SHMG Surgery Clinic

Position Type: Full Time (40 Hours/Week)

Start Time: 7:30am Monday- Friday

**Partial Remote Position (30% Onsite/70% Remote)**

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:

Referral Specialist- Surgery Clinic

1. Outgoing Referral Processing:

• Manage routine referral requests, including processing authorizations and verifying/renewing pre-authorizations to ensure financial reimbursement.
• Document referral and authorization details accurately in Epic, including diagnosis and ICD-10 codes.
• Coordinate outgoing referrals by compiling and sending necessary documents to external specialists.
• Communicate with patients, insurance companies, and specialty offices to resolve barriers and expedite referral processing, particularly for urgent cases.
• Ensure accurate insurance verification and benefits eligibility using appropriate tools (e.g., HDX, PhTech).

2. Work Queue, Faxes, and Epic In-basket Management:

• Process and route external lab and imaging results to the appropriate services.
• Ensure correct order association for scanned return results.
• Complete and assist with departmental work queue assignments and manage referral-related faxes.

3. Referral Resource Directory Maintenance:

• Maintain up-to-date knowledge of specialty practices, referral processes, and managed care requirements.
• Serve as a resource for referral services and expectations.

General Responsibilities:

• Use lean processes to enhance workflow efficiency.
• Respond professionally to provider questions and concerns.
• Communicate effectively with all stakeholders, including referral sources, insurance companies, and patients.

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 employer https://studentaid.gov/
• Food and drink discounts in the cafeteria
• Impressive discounts offered by Nike, Adidas, Carhartt and others

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.
• Previous EPIC Prelude and Cadence experience a plus.

Special Skills/Knowledge/Abilities:

1. Exceptional computer skills and the ability to quickly master multiple computer programs & web-based resources is required.

2. Knowledge of business and office machines such as: fax, telephone, computer/printer, copier; reception skills required.

3. Must have strong interpersonal skills and the ability and desire to work in a very busy, multidisciplinary setting.

4. Must have good clerical skills, including typing (60 wpm) and excellent telephone etiquette and good organizational and record-keeping skills.

5. Must abide by HIPAA regulations and hold information in confidence.

6. Must have appropriate manner, conduct and grooming and present a professional image.

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