Referral Coordinator - Cancer Program

PeaceHealth-posted 3 months ago
$24 - $33/Yr
Part-time
Vancouver, WA
Hospitals
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PeaceHealth is seeking a Referral Coordinator - Cancer Program for a Part Time, 0.80 FTE, Day position. The salary range for this job opening at PeaceHealth is $24.99 - $33.73. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

  • 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.
  • 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 met and referral support documentation is filed in patient's medical record.
  • 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.
  • Communicates with billing staff and third-party payors to assure coverage of patient care.
  • Minimum of 3 years required: Experience working in insurance in a medical related field, or other related experience.
  • Demonstrated experience in insurance requirements for referrals and/or prior authorizations to various therapies (PT, RT, OT, ST), surgeries, procedures, diagnostic testing, and infusions.
  • GYN procedures, testing, etc (Required).
  • Proficient with MS Office applications (Required).
  • Proficient with Horizon Home Care (Required).
  • Full medical/dental/vision coverage
  • 403b retirement plan employer base and matching contributions
  • Paid time off
  • Employer-paid life and disability insurance with additional buy-up coverage options
  • Tuition and continuing education reimbursement
  • Wellness benefits
  • Expanded EAP and mental health program
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