Referral Coordinator

APR Consulting; Vancouver (WA); On-site; USD 29,000 - 42,000; Full time

Job summary

APR Consulting, Inc. is seeking a Referral Coordinator for an onsite role in Vancouver, WA 98661. The position pays $25.92/hr for 13 weeks, with a 40-hour week (Mon-Fri, 8:00 am–4:30 pm). Epic experience is required, and interview scheduling will be handled directly by the manager.

The role involves ensuring approved services are delivered, requesting additional visits as needed, and providing clerical support while coordinating referrals and maintaining records.

Qualifications

• Minimum of 3 years experience in insurance in a medical-related field or related experience.
• Proficient with MS Office applications.
• Experience with Horizon Home Care is required.

Responsibilities

• Oversees data entry and completion of referral forms; obtains insurance pre-authorization.
• Manages correspondence with patients, physicians, and insurers; documents referrals.
• Ensures insurance documentation and referral support are filed in patient records.
• Communicates with billing and payors to assure coverage of patient care.

Skills

Insurance referrals

MS Office

Horizon Home Care

Education

Accredited School Preferred

Tools

Epic

Job description

Position: Referral Coordinator

Location: Vancouver, WA 98661

Pay Rate: $25.92/hr

Duration: 13 weeks

Expected Shift: 40 hrs/week, Mon-Fri 8am to 4:30pm, Onsite

Possible to extend or convert

Must have Epic

Interview – Manager will reach out to set up directly.

Job Summary

Assure that the services that are approved by private payors have been done and that we request more visits for patients as we continue through the episode of care. May also be responsible for management of referrals; working closely with team members to ensure optimum utilization and cost containment. Provides clerical support and assistance to staff.

Essential Functions

• Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre-authorization for patients and reauthorization of additional treatment. Ensures insurance carrier (including Medicare) documentation requirements are me and referral support documentation is filed in patient’s medical record.
• Efficiently manages correspondence with patients, physicians, specialists, insurance companies. Documents pertinent information on referral form and/or in medical record. Ensures practitioners are following standardized guidelines as recommended by evidenced based medicine.
• Communicates with billing staff and third-party payors to assure coverage of patient care.
• Performs other duties as assigned.

Qualifications

Education

Accredited School Preferred:

Experience

Minimum of 3 years Required: Experience working in insurance in a medical related field, or other related experience.\Skills

Skills

• Demonstrated experience in insurance requirements for referrals and /or prior authorizations to various therapies (PT, RT, OT, ST), surgeries, procedures, diagnostic testing, and infusions. GYN procedures, testing, etc (Required)
• Proficient with MS Office applications (Required)
• Proficient with Horizon Home Care (Required)

Our client is the one of the largest Healthcare Staffing Provider in the United States, to be assigned at one of their affiliated hospitals/healthcare facilities.

This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.

Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.