Referral and Authorization Specialist, Eugene OR

Socket.dev; Eugene (OR); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical/Dental/Vision

401K with discretionary employer match

Paid Time Off

Free in-house lab tests

Job summary

Praxis Health's Oak Street Medical Primary Care in Oregon is seeking a Referral and Authorization Specialist to support our growing team. The role focuses on obtaining prior authorizations, referrals, and coordinating with patients, insurers, and physicians.

Training and support are provided to ensure success. The ideal candidate has two years in a medical office, plus experience with insurance authorization and scheduling.

Qualifications

• High School diploma or GED.
• Background in insurance authorization and scheduling.
• Extensive customer service experience.
• Minimum two years of experience in a medical office setting.

Responsibilities

• Obtains prior authorizations and referrals.
• Inputs correct data into Intergy.
• Performs clerical duties related to clinical service.
• Prepares and processes correspondence.
• Answers telephone, takes messages, and provides information.
• Requests, locates, sends and receives patient records.
• Monitors internal communications including emails and voicemails.
• Maintains files and assists establishing office systems.
• Assists in the care and maintenance of office equipment.
• Fulfills clerical responsibilities including obtaining lab/x-ray reports and updating EMR charts.
• Fulfills the organization’s responsibilities including respecting patient rights and reporting issues.

Skills

Customer service

Scheduling

Data entry

Phone communication

Education

High School diploma or GED

Tools

Intergy

EMR systems

Job description

Oak Street Medical Primary Care, part of Praxis Health, is currently looking to add another Referral and Authorization Specialist to our team who can help support our growing needs. We hope to find the perfect fit for our team soon! If you are a fast learner, hard worker and overachiever, this position might be for you. Our current team and leadership are willing to provide any needed training and support to make the person we hire successful, but a background in the insurance industry would give any candidate a step up!

Schedule: Monday - Friday, 8:00am - 5:00pm

Benefit Highlight

• Medical, Dental, Vision with In-Network & Custom Network discounts
• 401(K) with discretionary employer match
• Paid Time Off
• Free clinical diagnostic laboratory testing performed in-house

This position is customer service and patient care intensive. The ideal applicant is someone who is comfortable and willing to explain coding and billing over the phone with not only patients- but insurers, medical staff and providers.

Duties of this position will include obtaining prior authorizations for services that are not customary plan benefits, calling on referrals, scheduling and interacting with patients, Primary Care Physicians and/or Referring Physicians, data entry, patient file and records maintenance, etc.

Essential Job Functions

• Obtains prior authorizations and referrals.
• Inputs correct data into Intergy.
• Performs clerical duties related to clinical service.
• Prepares and processes correspondence.
• Answers telephone, takes messages, and provides information.
• Requests, locates, sends and receives patient records.
• Monitors internal communications including but not limited to task, emails, and voice mails.
• Maintains files and assists establishing office systems.
• Assists in the care and maintenance of office equipment.
• Fulfills clerical responsibilities as assigned that may include sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.; scheduling appointments; verifying insurance coverage; managing and updating EMR charts to ensure that information is complete and filed appropriately.
• Fulfills the organizations responsibilities as assigned including; respecting and promoting patient’s rights; sharing problems with immediate supervisor.
• Other duties as assigned.
• Reliable attendance and presence at work.

Minimum Qualifications

Education and/or Experience

• High School diploma or general equivalency diploma (GED).
• Background in insurance authorization and scheduling.
• Extensive customer service experience.
• Minimum two years of experience in a medical office setting.

Preferred but not required experience:

• 1–3 years working in a healthcare office or clinic setting
• Experience processing medical referrals and prior authorizations
• Familiarity with insurance plans (HMO, PPO, Medicare, Medicaid)
• Comfortable using Electronic Medical Records (EMR) systems
• Able to read and understand basic medical notes and referrals
• Experience talking with patients about referrals and authorizations
• Organized and able to track referral status and follow up as needed

About Our Company

Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. Our community-based clinics are the DNA of our business, providing better medicine, advocacy for our patients, and a satisfying and collaborative culture for our providers and staff. The Praxis family approach is dynamically different from other healthcare companies in Oregon. We are not “big box” health care, but rather a company of small groups and clinics, of nimble micro-cultures that can quickly adapt to industry changes, as well as patient needs. We have been serving communities across the beautiful and adventurous state of Oregon for over 50 years! And we are pioneers and thought leaders in the industry. Our commitment to innovative and operational excellence has allowed us to create healthcare solutions that are both cost-efficient and cutting edge. Come see how healthcare is done right!

We are excited to share with you a short video that shows why the Praxis Health family is so special. Please click here: https://youtu.be/MrNWtn42prY

General Physical Requirements

Manual dexterity for office machine operation including computer and calculator; stooping, bending to handle files and supplies, mobility to complete errands for deliveries, or sitting for extended periods of time.

The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds.

Stress can be triggered by multiple staff demands and deadlines.

Work is performed in an office environment. Involves frequent contact with staff and patients.