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Referral Coordinator - Neurosurgery Contracted

Benefits Eligibility (Employment Type):  Full-time benefits (32-40 hours per week)
Shift Type:  Day
Shift Length:  8 Hours
Primary Location (City):  Springfield
State:  OR

PeaceHealth is seeking a Referral Coordinator - Neurosurgery Contracted for a 1.0 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of 8 Hours.

Req ID: 190379

 

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 me 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

PHMG Oregon Neuroscience:

  • Minimum of two years’ experience working in insurance in a medical related field or other related experience.

 

PHMG -  PHYSICAL/COGNITIVE REQUIREMENTS:

  • Work requires fairly light physical exertion from 34 to 65% of the time.  
  • Ability to lift objects weighing 30 lbs. or less.      
  • Work is performed under normal working conditions with adequate lighting and ventilation.       
  • Job duties frequently require intense concentration and attention to detail (34-65% of work time).           

For full consideration of your skills and abilities, please attach a current resume with your application.

 

About Us

PeaceHealth, based in Vancouver, WA, is a not-for-profit Catholic health system employing approximately 16,000 caregivers, a multi-specialty medical group practice with more than 1,200 providers and 10 medical centers serving both urban and rural communities in Washington, Oregon, Alaska.  In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, the legacy of its founding Sisters continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission. 

 

Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!  We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment!

 

To learn more please visit: jobs.peacehealth.org.  Questions? Review our Employment FAQ or email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.

 

Location: Springfield, Riverbend Medical Pavilion (418)
Job Category:  Business, Administrative & Facilities 
Shift:  Day
Shift Length: 8 Hours
FTE: 1.0
Work Type:  Full Time
Hourly compensation starts at: $17.26, more depending on experience
Required Certifications/Licensure: 

 

PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran, qualified individual with a disability, race, ethnicity, religion, gender, pregnancy, gender identity, national origin, age, genetic information, sexual orientation, or any other protected status in accordance with local, state, or federal laws.

 

The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.


Nearest Major Market: Eugene

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