Referral and Authorization Specialist, Eugene OR

Praxis Health • Eugene, OR

3d • Onsite

About The Position

Oak Street Medical Primary Care, part of Praxis Health, is looking to add a Referral and Authorization Specialist to support growing needs. This position is customer service and patient care intensive. The ideal applicant is someone who is comfortable and willing to explain coding and billing over the phone with patients, insurers, medical staff, and providers. The role involves obtaining prior authorizations for services that are not customary plan benefits, calling on referrals, scheduling, and interacting with patients, Primary Care Physicians, and/or Referring Physicians, data entry, and patient file and records maintenance.

Requirements

• High School diploma or general equivalency diploma (GED).
• Background in insurance authorization and scheduling.
• Extensive customer service experience.
• Minimum two years of experience in a medical office setting.

Nice To Haves

• 1–3 years working in a healthcare office or clinic setting
• Experience processing medical referrals and prior authorizations
• Familiarity with insurance plans (HMO, PPO, Medicare, Medicaid)
• Comfortable using Electronic Medical Records (EMR) systems
• Able to read and understand basic medical notes and referrals
• Experience talking with patients about referrals and authorizations
• Organized and able to track referral status and follow up as needed

Responsibilities

• Obtains prior authorizations and referrals.
• Inputs correct data into Intergy.
• Performs clerical duties related to clinical service.
• Prepares and processes correspondence.
• Answers telephone, takes messages, and provides information.
• Requests, locates, sends and receives patient records.
• Monitors internal communications including but not limited to task, emails, and voice mails.
• Maintains files and assists establishing office systems.
• Assists in the care and maintenance of office equipment.
• Fulfills clerical responsibilities as assigned that may include sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.; scheduling appointments; verifying insurance coverage; managing and updating EMR charts to ensure that information is complete and filed appropriately.
• Fulfills the organizations responsibilities as assigned including; respecting and promoting patient’s rights; sharing problems with immediate supervisor.
• Other duties as assigned.
• Reliable attendance and presence at work.

Benefits

• Medical, Dental, Vision with In-Network & Custom Network discounts
• 401(K) with discretionary employer match
• Paid Time Off
• Free clinical diagnostic laboratory testing performed in-house

What This Job Offers

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