Patient Authorization and Referral Representative - Referral Operations

Providence • Portland, OR

1d

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. 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
• Minimum of 2 years experience in a healthcare system.
• 2 years Experience in Health Care Industry or related field.
• 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
• Epic software experience.
• Experience in database management and spreadsheets.
• Experience in Professional Billing Revenue Cycle Management is preferred.

Responsibilities

• Implementation of policies and procedures relating to aspects of the Referral Operations department.
• Supporting core functional areas of specialist referral processing.
• Supporting diagnostic authorizations.
• Supporting prior authorization.
• Supporting denials/appeals.
• Supporting training.

Benefits

• Best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED