Referral & Pre-Authorization Coordinator

PeaceHealth; Bellingham (WA); Hybrid; USD 36,000 - 48,000; Full time

Job summary

PeaceHealth is seeking a Referral Coordinator - Gastroenterology for a Full Time, 1.00 FTE, Day position in Bellingham, WA. The role focuses on ensuring referrals are managed, insurance pre-authorizations are obtained, and cost containment is achieved while providing clerical support.

The candidate will work closely with team members, manage communications with patients, physicians, and insurers, and ensure adherence to guidelines.

Qualifications

• Accredited School Preferred: Business or two years college
• Preferred: Medical Assistant, Licensed Practical nurse, or Registered Nurse
• Minimum of 3 years Required: Experience working in insurance in a medical related field
• Preferred: National Certified Medical Assistant or
• Preferred: Licensed Practical Nurse - Washington or
• Preferred: Registered Nurse

Responsibilities

• Oversees the data entry and completion of referral forms/notifications.
• Obtains insurance pre-authorization for patients and reauthorization of additional treatment.
• Ensures insurance carrier documentation requirements are met and referral support documentation is filed in patients' medical record.
• Communicates with billing staff and third-party payors to assure coverage of patient care.

Skills

Insurance knowledge

Referral management

Documentation

MS Office

Education

Two years college

Licensed Practical Nurse

Registered Nurse

Medical Assistant

Tools

Horizon Home Care

MS Office

Job description

PeaceHealth is seeking a Referral Coordinator - Gastroenterology for a Full Time, 1.00 FTE, Day position in Bellingham, WA. The role focuses on ensuring referrals are managed, insurance pre-authorizations are obtained, and cost containment is achieved while providing clerical support.

The candidate will work closely with team members, manage communications with patients, physicians, and insurers, and ensure adherence to guidelines.