Patient Authorization and Referral Representative

Providence • Medford, OR

12d

About The Position

The Patient Authorization and Referral Representative (PARR) is responsible for the implementation of policies and procedures relating to aspects of the Referral Operations department in Providence Medical Group (primary care and specialty clinics) and performs duties supporting the core functional areas of specialist referral processing, diagnostic authorizations, prior authorization, denials/appeals, and training. The work focuses on department support of activities such as: production, service level agreements, strategic outcomes, standards and objectives, and performance improvement activities relevant to Referrals Operations. The PARR assures an integrated approach to the program is fulfilled, resulting in timely scheduling of requested services, communication across the continuum of care for requested outpatient services, improvement in the provision of care and services, and improved satisfaction for our patients, providers, staff, and external contacts. The PARR functions in a team environment, providing requested services in a centralized setting on behalf of the medical group clinics. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

• H.S. Diploma or GED
• 2 years Experience in Health Care Industry or related field.
• Physician Office Revenue Cycle
• Physician or Hospital Billing
• Health Insurance
• Outpatient ambulatory Clinical Quality
• 2 years Experience in a referral management functional area such as prior authorization, referrals, appeals, business office or insurance health plans.

Nice To Haves

• Bachelor's Degree Or The position requires a minimum of 2 years experience in an healthcare system.
• Experience in Professional Billing Revenue Cycle Management is preferred.
• Epic software experience.
• Experience in database management and spreadsheets.

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
• We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees