Referral Coordinator
PeaceHealth
Job Description
Description
PeaceHealth is seeking a Referral Coordinator for a Per Diem/Relief, 0.00 FTE, Day position.
The salary range for this job opening at PeaceHealth is $20.45 – $30.69. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
This position is represented by a collective bargaining agreement. There may be more than one opening on this posting.
Spotlight on Bellingham, WA: CultureHQ.com - A Better Workplace Community
Bellingham, WA is the perfect blend of endless outdoor recreation, urban living, strong schools, great shopping & cuisine, and so much more! These amenities are surrounded by incredible scenery, from the sea to the mountains and the rainforest, making this community an amazing place to live. Acclaimed for its small-city flavor and the home of Western Washington University, Whatcom Community College and Bellingham Technical College, Bellingham has a robust art, music and cultural scene while boasting 65 miles of inner-urban trails to explore, pristine lakes, forests, saltwater beaches, and snow-covered peaks - there are unlimited opportunities for breathtaking hikes, relaxing camping trips, water activities, bird watching, snow sports, and scenic drives!
The Referral Coordinator assures 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 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: 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)
PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.
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.