Remote Prior Authorization & Referral Specialist

St. Charles Health System; United States; 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 authorizations and referrals for services, tests, and surgeries.

This role interacts with patients, care teams and health plans to ensure timely access to needed care and accurate benefits information. The position requires strong communication, multitasking, and organizational skills, with experience in hospital or clinic billing and knowledge of medical coding.

Qualifications

• Requires a high school diploma or GED.

Responsibilities

• Coordinate prior authorization and referrals for services, tests and surgeries.
• Facilitate communication of provider, facility and order information to health plans.
• Assist with scheduling and patient education related to authorizations and referrals.
• Maintain accurate documentation and update systems with current information.
• Collaborate with care teams to ensure timely access to care.

Skills

Multitasking

Communication skills

Teamwork

Customer service

Attention to detail

Prioritization

Education

High School diploma or GED

College level coursework

Tools

MS Office

MS Teams

Excel

Electronic medical records system

Job description

St. Charles Health System in Bend, Oregon is seeking a Prior Authorizations and Referral Management Representative to coordinate authorizations and referrals for services, tests, and surgeries.

This role interacts with patients, care teams and health plans to ensure timely access to needed care and accurate benefits information. The position requires strong communication, multitasking, and organizational skills, with experience in hospital or clinic billing and knowledge of medical coding.