Patient Authorization and Referral Representative - USFHP
About The Position
Patient Authorization & Referral Representative – USFHP. Make a meaningful impact where care begins. As a Patient Authorization & Referral Representative for US Family Health Plan (USFHP), you play a critical role in ensuring patients receive the right care at the right time—without delays. In this fast-paced, patient-focused role, you’ll be the expert navigating referrals, verifying authorizations, and coordinating with providers and clinical teams. Your attention to detail and commitment to service helps eliminate barriers to care and creates a seamless experience for patients and families who rely on USFHP. US Family Health Plan is a Department of Defense-sponsored health plan for uniformed services members, retirees and their family members. Based in Washington State, PacMed has administered US Family Health Plan for more than 30 years. We have learned best practices that keep people healthy – efficiently and affordably. Due to our not-for-profit status, we can reinvest savings back into operations of the health plan, creating more support and healthier outcomes for beneficiaries. Provides the administrative functions needed to support a smooth, efficient referral process; assists the utilization review and case management nurse with management of referrals and monitoring or institutional patients. Providence caregivers are not simply valued – they’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers 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
- 2 years Experience in medical related field.
- Previous experience in UR, health plan, or managed care environment.
Nice To Haves
- LPN or health data services coder.
Responsibilities
- Provides the administrative functions needed to support a smooth, efficient referral process
- Assists the utilization review and case management nurse with management of referrals and monitoring or institutional patients
Benefits
- Best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
