Referral Coordinator - OB GYN

PeaceHealth; Bellingham (WA); Hybrid; USD 35,000 - 48,000; Part time

Benefits offered by this job

403b retirement plan

Wellness benefits

Discount program

Expanded EAP and mental health program

Job summary

PeaceHealth seeks a Referral Coordinator - OB GYN for a Per Diem/Relief position in Washington. The role involves managing referrals, securing pre-authorizations, and ensuring accurate documentation in patient records. Flexible office/remote hybrid work arrangement may apply, with travel to clinic sites as needed.

Minimum 2 years in medical insurance required; preferred credentials include MA/LPN/RN. Strong MS Office and Horizon Home Care proficiency are essential for success.

Qualifications

• Minimum of 2 years experience in medical insurance.
• Experience with referrals and prior authorizations.
• Proficiency with MS Office and Horizon Home Care.

Responsibilities

• Process referral forms and obtain pre-authorization for treatment.
• Coordinate with patients, physicians, and payors for coverage.
• Maintain accurate documentation in medical records.
• Work in a hybrid office/remote environment as required.

Skills

Insurance referrals

MS Office

Horizon Home Care

GYN procedures

Education

Business or 2-year college

MA/LPN/RN preferred

Job description

Description

PeaceHealth is seeking a Referral Coordinator - OB GYN for a Per Diem/Relief, 0.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $25.62 – $34.58. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

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.
• Positions may be office/remote hybrid requiring ability to work in an independent and remote environment; ability to work from home in a secure environment free of distractions with appropriate high-speed connectivity; ability to report to the office within 60 minutes if required.
• Responsibilities may include travel to and from clinic sites and multiple locations.
• Performs other duties as assigned.

Qualifications

Education

• Accredited School Preferred: Business or two years college and
• Preferred: Medical Assistant, Licensed Practical nurse, or Registered Nurse

Experience

• Minimum of 2 years Required: Experience working in insurance in a medical related field

Credentials

• Preferred: National Certified Medical Assistant or
• Preferred: Licensed Practical Nurse - Washington or
• Preferred: Registered Nurse

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)

Working Conditions

Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.

Mental/Visual

• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are

• 403b retirement plan for caregiver contributions
• wellness benefits
• discount program
• expanded EAP and mental health program

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

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