Ortho Referrals Specialist

PeaceHealth; Ketchikan (AK); On-site; USD 37,000 - 51,000; Full time

Benefits offered by this job

Medical/dental/vision coverage

403b retirement plan employer base and

Paid time off

Life and disability insurance

Tuition and continuing education

Wellness benefits

Job summary

PeaceHealth Ketchikan and/or Prince of Wales is seeking a Referral Coordinator - Orthopedics for a Full Time, 1.00 FTE, Day position. The role ensures referrals are properly processed, pre-authorizations obtained, and patient records maintained.

Excellent MS Office and Horizon Home Care proficiency is required; experience with insurance and medical billing will support cost containment and efficient care episodes.

Qualifications

• Minimum of 3 years experience working in insurance in a medical-related field.
• Accredited School Preferred: Business or two years college.
• Preferred: Medical Assistant, Licensed Practical Nurse, or Registered Nurse.

Responsibilities

• Oversees data entry and completion of referral forms/notifications; obtains insurance pre-authorization and reauthorization; ensures documentation is filed in the medical record.
• Manages correspondence with patients, physicians, and insurance companies; documents information in referrals/records; ensures providers follow guidelines.
• Coordinates with billing staff and third-party payors to assure coverage of patient care.
• Performs other duties as assigned.

Skills

Insurance referrals/authorizations

MS Office

Horizon Home Care

Communication with payors

Education

Business or two years college

LPN/LPN license or RN license

Tools

MS Office

Horizon Home Care

Job description

PeaceHealth Ketchikan and/or Prince of Wales is seeking a Referral Coordinator - Orthopedics for a Full Time, 1.00 FTE, Day position. The role ensures referrals are properly processed, pre-authorizations obtained, and patient records maintained.

Excellent MS Office and Horizon Home Care proficiency is required; experience with insurance and medical billing will support cost containment and efficient care episodes.