Healthcare Referral Coordinator | Prior Authorizations

PeaceHealth; Springfield (OR); On-site; USD 53,000 - 72,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

403(b) retirement plan

Paid time off

Life insurance

Disability insurance

Tuition reimbursement

Wellness program

Mental health support

Job summary

PeaceHealth is seeking a Referral Coordinator in Oregon for a full-time day shift. The role focuses on managing referrals, obtaining pre-authorizations, and ensuring accurate documentation in the patient record.

The position emphasizes collaboration with care teams and payors to optimize utilization and cost containment. The ideal candidate has experience in medical insurance referrals, proficiency with MS Office and Horizon Home Care, and a background in a healthcare setting.

Qualifications

• Experience in medical insurance referrals and pre-authorizations.
• Proficiency with MS Office.
• Understanding of Horizon Home Care system.

Responsibilities

• Enter referral data and complete forms; obtain pre-authorizations.
• Communicate with patients, physicians, and insurers; document information.
• Coordinate with billing and payors to ensure coverage.
• Perform other duties as assigned.

Skills

MS Office

Horizon Home Care

Insurance knowledge

Education

Business or two years college

Tools

MS Office applications

Horizon Home Care

Job description

PeaceHealth is seeking a Referral Coordinator in Oregon for a full-time day shift. The role focuses on managing referrals, obtaining pre-authorizations, and ensuring accurate documentation in the patient record.

The position emphasizes collaboration with care teams and payors to optimize utilization and cost containment. The ideal candidate has experience in medical insurance referrals, proficiency with MS Office and Horizon Home Care, and a background in a healthcare setting.