Patient Authorization and Referral Representative

Providence Health Plan Group; Eureka, Northern (CA, KY); Hybrid; USD 36,000 - 55,000; Full time

Job summary

Providence Health Plan Group in Eureka, CA is seeking a Referral Coordinator to prepare clinical data for physician/IPP/CBO approvals and to obtain authorizations, acting as a liaison between patient, medical staff, IPP, CMS, and the Central Business Office.

This on-site role offers the opportunity to support a patient-centered care team within Providence, with emphasis on accuracy, timely communication, and collaboration to ensure smooth case management and payer processes.

Qualifications

• 1 year of experience with medical terminology, coding and medical charting.
• CMA Certification (CMA) upon hire.

Responsibilities

• Prepare clinical data for physician/IPP/CBO approvals and obtain authorizations.
• Liaise between patient, medical staff, physician, IPP, CMS Department and Central Business Office.

Skills

Medical terminology

Medical coding

Medical charting

Education

CMA Certification

Job description

Description

The Referral Coordinator prepares clinical data for physician/IPP/CBO approval and obtains authorizations; acts as liaison between patient, medical assistant, physician, IPP, CMS Department and Central Business Office.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required qualifications:

• 1 year of experience with medical terminology, coding and medical charting.

Preferred qualifications:

• Upon hire: Medical Assistant Certification (CMA)

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Requsition ID: 461655
Company: Providence Jobs
Job Category: Patient Access
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Multiple shifts available
Career Track: Admin Support
Department: 7520 SCHEDULING CA NOCAL
Address: CA Eureka 2725 Myrtle Ave
Work Location: St Joseph Health Medical Grp-Myrtle Ave Eureka
Workplace Type: On-site
Pay Range: $26.25 - $40.14
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.