Remote Prior Authorization & Referral Coordinator

stcharles; Bend (OR); Hybrid; USD 31,000 - 41,000; Full time

Job summary

ST. CHARLES HEALTH SYSTEM in Bend, Oregon is seeking a Prior Authorizations and Referral Management Representative to coordinate prior authorizations and referrals for patients, with a focus on scheduling and care coordination within ambulatory access services.

This hybrid role supports both remote and on-site duties in the Preoperative Medicine Clinic. The position reports to the Ambulatory Access or Outpatient Clinic Leader and requires strong communication with providers, care teams, and

Qualifications

• Required: High School diploma or GED.
• Preferred: College level coursework.

Responsibilities

• Facilitates coordination of prior authorization and referral processes for patients referred for services, testing, or procedures.
• Communicates provider, facility, and order information to health plans.
• Obtains financial clearance and tracks authorizations and referrals to support scheduling.

Education

High School diploma or GED

Job description

ST. CHARLES HEALTH SYSTEM in Bend, Oregon is seeking a Prior Authorizations and Referral Management Representative to coordinate prior authorizations and referrals for patients, with a focus on scheduling and care coordination within ambulatory access services.

This hybrid role supports both remote and on-site duties in the Preoperative Medicine Clinic. The position reports to the Ambulatory Access or Outpatient Clinic Leader and requires strong communication with providers, care teams, and