Prior Authorization & Referral Coordination Specialist

St. Charles Health System Inc.; Bend (OR); Hybrid; USD 30,000 - 41,000; Part time

Job summary

St. Charles Health System in Bend, Oregon is seeking a Part Time Prior Authorizations and Referral Management Representative to coordinate prior authorizations and referrals for services, testing, specialty care, and surgery.

This role interfaces with patients and care teams to ensure timely access to care. You will handle scheduling coordination with the surgery department, specialists and ancillary departments, verify benefits, and maintain accurate records in the EMR and related systems.

Qualifications

• Hospital/clinic billing or pre-authorization experience.
• Knowledge of medical insurance billing and claims processing.
• Strong communication and organizational skills.
• Ability to work with diverse patients and care teams.

Responsibilities

• Coordinate prior authorization and referral processes.
• Schedule with surgery, specialists, and ancillary departments.
• Verify patient benefits and obtain eligibility.
• Maintain accurate system updates and documentation.
• Communicate with providers and patients about authorizations.

Skills

Multitasking

Communication

Interpersonal skills

Teamwork

Education

High School diploma or GED

Tools

EMR system

MS Office

MS Teams

Excel

Job description

St. Charles Health System in Bend, Oregon is seeking a Part Time Prior Authorizations and Referral Management Representative to coordinate prior authorizations and referrals for services, testing, specialty care, and surgery.

This role interfaces with patients and care teams to ensure timely access to care. You will handle scheduling coordination with the surgery department, specialists and ancillary departments, verify benefits, and maintain accurate records in the EMR and related systems.