Remote Prior Authorization & Referral Coordinator

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

Job summary

ST. CHARLES HEALTH SYSTEM is seeking a Prior Authorizations and Referral Management Representative for the Bend, Oregon area. The role coordinates prior authorizations and referrals, serving as the liaison among patients, providers, and health plans in a hybrid work setting.

The position requires a high school diploma or GED with at least one year of related experience and a basic understanding of medical coding. Excellent communication and organizational skills are essential.

Qualifications

• High school diploma or GED required.
• Minimum one year experience in hospital/clinic/medical insurance billing or related area.
• Basic understanding of medical coding.

Responsibilities

• Coordinate prior authorization and referrals for services.
• Verify patient health plan coverage and benefits.
• Communicate provider, facility, and order information to health plans.
• Schedule patients with internal and external departments and clinics.
• Maintain accurate information in systems for authorizations and referrals.

Skills

Multitasking

Communication

Customer service

Organizational skills

Attention to detail

Education

High School diploma or GED

College level coursework

Tools

Electronic Medical Records (EMR)

MS Office

MS Teams

Excel

Job description

ST. CHARLES HEALTH SYSTEM is seeking a Prior Authorizations and Referral Management Representative for the Bend, Oregon area. The role coordinates prior authorizations and referrals, serving as the liaison among patients, providers, and health plans in a hybrid work setting.

The position requires a high school diploma or GED with at least one year of related experience and a basic understanding of medical coding. Excellent communication and organizational skills are essential.