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Referral Coordinator - Specialty Care

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Job ID: 42920
Location: Sedro Woolley, WA
Work Type: Full Time
Shift: Day
Shift Length: 8 Hours
FTE: 1.00
Benefit Eligibility: Full-time benefits

Job Description

Description

PeaceHealth is seeking a Referral Coordinator - Specialty Care for a Full Time, 1.00 FTE, Day position.  Hourly compensation starts at $23.01, more depending on experience. This position will support 8 specialties in the department.

Spotlight on Sedro-Woolley: CultureHQ.com - A Better Workplace Community

Sedro-Woolley, WA, the “Gateway to the North Cascades,” is a wonderful blend of incredible scenery, endless outdoor recreation and small-town living! Stroll through historic downtown to see life-size chainsaw art sculptures carved from cedar logs at the annual Loggerodeo. The seasonal Farmers Market offers some of Skagit County's freshest produce, meats, cheeses, flowers, handcrafted goods and snacks, and Riverfront Park offers picnicking and boating beside the Skagit River. There are unlimited opportunities for breathtaking hikes, relaxing camping trips, water activities, bird watching, snow sports, scenic drives and horseback riding. Both Sedro-Woolley and neighboring Burlington, WA (known as “The Hub of Skagit County”) offer many Arts, Culture, Entertainment and retail opportunities, including the famous Skagit Tulip Festival. Finally, if you want to visit a bigger city, Sedro-Woolley is a quick 20-minute drive to Bellingham, a 90-minute drive to Seattle, WA and a 90-minute drive to Vancouver, British Columbia. 

Assure that the services that are approved by private payors have been done and that we request more visits for patients as we continue through the episode of care. May also be responsible for management of referrals; working closely with team members to ensure optimum utilization and cost containment. Provides clerical support and assistance to staff.

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 met 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:

  • Two years college or accredited business school preferred.
  • Medical Assistant, Licensed Practical nurse, or Registered Nurse highly desired.
  • 3 years experience working in insurance in a medical related field, or other related experience
  • Demonstrated experience in insurance requirements for referrals and /or prior authorizations to various therapies (PT, RT, OT, ST), surgeries, procedures, diagnostic testing, and infusion. GYN procedures, testing, etc.
  • Proficient with MS Office applications
  • Proficient with Horizon Home Care

Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.

For a full description or questions about the position, contact Purneet, [email protected]

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.  

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