Referral Specialist II

Northwest Human Services, Inc. • Salem, OR

4d • $20 - $25 • Onsite

About The Position

Northwest Human Services is seeking a detail-oriented, patient-focused Referral Specialist II to help patients navigate the healthcare system. The role coordinates specialty care, obtains insurance authorizations, and supports timely access to services by bridging communication among primary care providers, patients, specialists, and insurance companies.

The position is based at the West Salem Clinic in Salem, Oregon, and is full time, Monday through Friday. It reports to the Patient Access Team Supervisor and is non-exempt. Candidates who receive a written offer must undergo a criminal records check.

Requirements

• High school diploma or equivalent.
• Proficiency in medical terminology.
• Current working knowledge of health insurance coverage, referral procedures, and pre-authorization requirements.
• Ability to communicate effectively and professionally with patients, providers, insurance representatives, and the public.
• Ability to manage multiple priorities, meet deadlines, and maintain accuracy in a fast-paced healthcare environment.
• Patient-centered approach demonstrating compassion, patience, respect, and clear communication.
• Attention to detail in referral documentation, authorizations, and follow-up activities.
• Problem-solving skills and initiative to identify barriers and coordinate solutions.
• Ability to communicate effectively in person and by phone and build positive working relationships across departments.
• Accountability, initiative, and ability to take ownership of assigned responsibilities.

Responsibilities

• Monitor daily referral requests, arrange specialty appointments, and ensure referrals are processed accurately and within established timelines.
• Obtain pre-authorizations for specialty services, procedures, and medications through insurance companies, HMOs, and other third-party payers.
• Respond to patient questions, explain referral processes, coordinate appointments and interpreter services, and help resolve barriers to care.
• Communicate with providers, specialists, and insurance representatives to coordinate services and advance the referral process.
• Track referrals, document authorization activity, and ensure consultation reports are received and recorded in patient medical records.
• Manage assigned responsibilities independently, exercise sound judgment, and follow established procedures.

Benefits

• Medical, dental, and vision insurance plans.
• Short-term and long-term disability coverage, 100% employer-paid.
• 403(b) retirement plan with a 2% employer contribution and up to a 3% employer match.
• Flexible Spending Account.
• Paid time off: 10 hours per month for full-time positions of 40 hours per week, increasing up to 20 hours monthly with tenure.
• 7½ paid holidays per year and 2 paid floating holidays for full-time positions.
• Continuing education and training benefits.
• Employee Healthy Living Program, including gym membership and smoking cessation.

What This Job Offers

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