Remote Prior Auth & Referral Coordinator

St. Charles Health System; United States; Hybrid; USD 31,000 - 41,000; Full time

Job summary

St. Charles Health System in Redmond, Oregon is seeking a Prior Authorizations and Referral Management Representative.

You will coordinate prior authorization and referrals for services, testing, surgery, and specialty care, acting as the liaison between patients and clinical staff. Responsibilities include scheduling coordination with surgery, specialists, and departments, and maintaining accurate authorization records.

Qualifications

• High School diploma or GED required.
• Minimum of one year experience in hospital, clinic, or medical insurance billing office.
• Basic understanding of medical coding.

Responsibilities

• Multitask and prioritize workflows, coordinating with providers, care team, and patients.
• Validate patient health plan coverage and update systems accordingly.
• Communicate necessary information to health plans for prior authorization and referrals.

Skills

Customer service

Multi-tasking

Communication skills

Organization

Education

High School diploma or GED

College coursework (preferred)

Tools

MS Office

Excel

Job description

St. Charles Health System in Redmond, Oregon is seeking a Prior Authorizations and Referral Management Representative.

You will coordinate prior authorization and referrals for services, testing, surgery, and specialty care, acting as the liaison between patients and clinical staff. Responsibilities include scheduling coordination with surgery, specialists, and departments, and maintaining accurate authorization records.