Clinic Referral Specialist

Samaritan Health Services

Corvallis (OR)

On-site

USD 25,000 - 39,000

Full time

2 days ago

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Job summary

Samaritan Health Services in Corvallis, OR is seeking a referral and prior-authorization specialist to manage incoming and outgoing referrals and authorize procedures. You will work within the Hematology & Oncology department, coordinating with clinicians, insurance providers, and patients to ensure timely authorization while maintaining compliance with CPT/ICD-10 coding and confidentiality standards.

The role requires attention to detail, strong organizational skills, and the ability to work in

Qualifications

High school diploma or equivalent required.
Minimum 2 years in a similar role with comparable responsibilities.
Experience and/or training with medical terminology and CPT/ICD-10 coding.
Experience and/or training with delegated health care services preferred.

Responsibilities

Responsible for authorizations of incoming/outgoing referrals and prior authorization of procedures.

Skills

Service Orientation

Clerical

Confidentiality

Time Management

Team Building

Social Perceptiveness

Education

High school diploma or equivalent

Tools

Computer Applications

Job description

Job Summary / Purpose

Responsible for authorizations of incoming/outgoing referrals and prior authorization of procedures.

Department Description

The Hematology & Oncology teams at Samaritan Health Services specialize in diagnosing and treating adult cancer patients using chemotherapy, hormonal therapy and biological therapy as well as treating a range of hematologic conditions. We educate patients about their illness, the treatment options and provide supportive care during treatment and into survivorship.

Experience / Education / Qualifications

High school diploma or equivalent required.
Two (2) years experience in a position of similar responsibility and complexity required.
Experience and/or training with medical terminology and CPT/ICD-10 coding required.
Experience and/or training with computer applications required.
Experience and/or training with delegated health care services preferred.

Knowledge / Skills / Abilities

Service Orientation - Successfully apply knowledge of various resources/models of recovery to assist and care for others.
Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology.
Confidentiality - Knowledge of State and Federal (HIPAA) laws pertaining to confidentiality of protected health information. Ability to comply with laws and maintain confidentiality of patient information.
Time Management - Ability to organize, plan and prioritize work to complete within required time frames and to follow-up on pending issues. Ability to perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.
Team Building - Ability to work, function and communicate on a multi-disciplinary team. Possess the knowledge and skills to develop constructive and cooperative working relationships with others and maintain them over time.
Social Perceptiveness - Ability to work with a diverse population from pediatrics to geriatrics. Basic understanding of age-related differences in caring for and/or communicating with patients and caregivers. Possess personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles, and ages.

Physical Demands