Health Plan Ops Lead: Referrals & Compliance

PacMed Clinics; Renton (WA); On-site; USD 54,000 - 84,000; Full time

Job summary

PacMed Clinics in Renton, WA, seeks a Referrals and Referral Support Supervisor to oversee daily activities of the referrals team under the USFHP Operations Director. You will ensure data entry accuracy, timely processing of authorizations and referrals, and compliance with DoD and government guidelines.

Join a Providence-affiliated network focusing on patient-centered care, with responsibilities including policy setting, budget collaboration, and staff development within a collaborative

Qualifications

• 4 years health care referrals experience.
• 2 years supervisory experience, including Lead role, or 6 months supervisory experience within a healthplan.

Responsibilities

• Organizes and directs the daily activities and department workflow of the Referrals and Referral Support Staff under the supervision of the Director of USFHP Operations.
• Ensures accurate and timely data entry and processing of authorization and referrals of Pacific Medical Centers' revenues and expenses.
• Monitors compliance with DoD and government agency guidelines and contract requirements.

Skills

Healthcare referrals experience

Supervisory capacity

Education

Bachelor's degree in Health Care Administration or Business Administration

Job description

PacMed Clinics in Renton, WA, seeks a Referrals and Referral Support Supervisor to oversee daily activities of the referrals team under the USFHP Operations Director. You will ensure data entry accuracy, timely processing of authorizations and referrals, and compliance with DoD and government guidelines.

Join a Providence-affiliated network focusing on patient-centered care, with responsibilities including policy setting, budget collaboration, and staff development within a collaborative