Join our Talent Network
Skip to main content

Referral Coordinator - Outpatient Medical Services

Job ID: 13877
Location: Florence, OR
Work Type: Full Time
Shift: Day
Shift Length: 8 Hours
FTE: 1.00
Benefit Eligibility: Full-time benefits

Job Description

Description

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.

PeaceHealth is seeking a Referral Coordinator - Outpatient Medical Services for a Full Time, Day position.  Hourly compensation starts at $17.61, more depending on experience.

JOB SUMMARY

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.

ESSENTIAL FUNCTIONS

  1. 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.
  2. 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.
  3. Communicates with billing staff and third party payors to assure coverage of patient care.
  4. Performs other duties as assigned.

QUALIFICATIONS

EDUCATION:

  • Two years college or accredited business school preferred.
  • Medical Assistant, Licensed Practical nurse, or Registered Nurse highly desired.

EXPERIENCE/TRAINING:

  • 3 years experience working in insurance in a medical related field, or other related experience

OTHER SKILLS:

  • Demonstrated experience in insurance requirements for referrals and /or prior authorizations to various therapies (PT, RT, OT, ST), surgeries, procedures, diagnostic testing, ophthalmic exams, GYN procedures, testing, etc.
  • Proficient with MS Office applications
  • Proficient with Horizon Home Care

REGION/LOCATION SPECIFIC NOTES

Peace Harbor Medical Center:

  • 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.
  • Assist with other administrative duties and tasks as assigned.

PEACE HARBOR PHYSICAL/COGNITIVE REQUIREMENTS:

  • Work requires active physical exertion up to 33% of the time.
  • Ability to lift objects weighing 80 lbs. or less.
  • Work requires frequent exposure to minor cold, heat, poor ventilation or sharp instruments. Reasonably anticipated exposure to blood and body fluids once per month or more.
  • Duties require the ability to concentrate and pay close attention to detail (more than 65% of work time).

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.  

Share: mail