Referral & Authorization Liaison

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

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.