GI Prior Authorizations & Referral Coordinator (Remote)

St. Charles Health System Inc.

Bend (OR)

Hybrid

USD 30,000 - 41,000

Full time

11 days ago

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Job summary

St. Charles Health System is seeking a Prior Authorizations and Referral Management Representative in Bend, Oregon. This role coordinates prior authorization and referral processes for services, tests, and surgeries, acting as a liaison between patients and clinical staff.

Expect extensive scheduling coordination with surgery, specialists, and ancillary departments. Requires a high school diploma and at least 1 year in hospital/clinic medical billing or pre-authorization, with strong

Qualifications

Requires a High School diploma or GED with relevant experience.
Minimum 1 year in hospital/clinic medical billing, pre-authorization, or related area.
Experience coordinating authorizations and referrals is preferred.

Responsibilities

Coordinate prior authorization and referral processes for tests, services, and surgery.
Act as liaison between patients and clinical staff throughout authorization workflows.
Engage care teams and patients to obtain accurate coverage details and scheduling.
Update systems with current authorization and referral information.
Facilitate scheduling with surgeons, specialists, and ancillary departments.
Maintain accuracy and confidentiality in all communications.