Revenue Cycle Authorization (Referrals) Coordinator for Central Admin in NE Portland

The Oregon Clinic • Portland, OR

1d • Hybrid

About The Position

Join The Oregon Clinic as a full-time Revenue Cycle Authorization (Referrals) Coordinator (Hybrid/Remote) in our Central Administration office. This role is crucial in ensuring patients receive the highest value care by providing a consistent, efficient, and easy experience for patients, internal, and external stakeholders. You will utilize excellent customer service and communication skills to assist clinics with eligibility verification, insurance benefits guidance, and providing medical policies. Your responsibilities will include documenting physician direct referrals, pre-certification, and authorizations for services as defined by the patient’s health insurance plan via phone, fax, or written requests. You will identify and request referrals/authorizations, communicate referral or insurance issues to clinical staff, and respond promptly to clinical requests. Other duties may be assigned.

Requirements

• Minimum of one (1) year of experience in a healthcare setting, healthcare insurance company, or managed care organization
• Strong analytical, organizational, and time management skills
• Demonstrated ability to initiate, work independently, and effectively multitask
• Positive attitude and desire to be a team player
• Ability to communicate professionally and effectively with patients, physicians, and other team members
• A commitment to patient-focused care, privacy, and safety

Nice To Haves

• Minimum of one (1) year of experience as a referral/authorization coordinator
• Prior Electronic Medical Record (EMR) EPIC experience
• Knowledge of medical terminology, CPT procedure, and ICD-9 coding

Responsibilities

• Assisting clinics with verifying eligibility
• Providing guidance to assist with insurance benefits
• Providing medical policies as needed in supporting clinic requests
• Documenting physician direct referrals, pre-certification, and authorizations of certain services as defined by the patient’s health insurance plan, via phone, fax, or written requests
• Identifying and requesting referrals/authorizations
• Communicating referrals or insurance issues to clinical staff
• Responding promptly to clinical requests
• Other duties as assigned

Benefits

• Employee is 100% covered Medical, Dental, and Prescription Insurance
• Generous 401(k) plan
• Flexible Spending Account options
• Paid Time Off
• 9 paid holidays annually
• Robust wellness program
• Employee assistance services
• 70% of Tri-Met transit pass covered
• Employee discounts
• Optional benefits like Pet Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees