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Referral Coordinator - Quality & Coordination
- Vancouver, Washington, United States
- Vancouver, Washington, United States
About
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.
What you bring
Accredited School Preferred: Business or two years college And
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 - Washington or
Preferred: Registered Nurse
Skills
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)
Working Conditions
Consistently operates computer and other office equipment.
Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
Sedentary work.
Predominantly operates in an office environment.
Ability to communicate and exchange accurate information.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
For additional information or questions, please email Jen Worthington at Jworthington@peacehealth.org or call 360-448-0542. 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 (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) . 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. REQNUMBER: 133664
Languages
- English
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