Senior Patient Authorization and Referral Representative - Rural Health

Providence; Washington (District of Columbia); Hybrid; USD 60.000 - 85.000; Vollzeit

Zusammenfassung

Providence is seeking a Senior Patient Authorization and Referral Specialist to manage complex referral processing and scheduling within our PMG specialty clinics. You will liaise with internal and external medical offices and insurers to ensure referrals are processed timely and accurately, while upholding the mission and values of Providence Health & Services.

Join our team at Physician Management Group and contribute to a culture focused on patient-centered care, teamwork, and professional

Qualifikationen

• 2 years experience in healthcare setting with increased responsibilities or customer service type role.
• 1 year referral processing experience.
• 1 year authorization and medical insurance experience.
• Demonstrate proficiency in medical terminology.

Aufgaben

• Process external and internal referral requests and scheduling support.
• Communicate with medical offices and insurers to ensure referrals are timely and accurate.

Kenntnisse

Customer service

Referral processing

Authorization & insurance

Jobbeschreibung

Description

Senior Patient Authorization and Referral Specialist initiates a variety of external and internal complex referral processing and skilled clerical duties in support of procedural and/or surgery scheduling within the PMG specialty clinics. Communicate with internal and external medical offices and insurance companies to ensure provider referral requests are processed timely and accurately. Performs all duties in a manner which promotes team concept and reflects the mission and values of Providence Health & Services.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Physician Management Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• 2 years Experience in healthcare setting with increased responsibilities or customer service type role.




• 1 year Referral processing experience.




• 1 year Authorization and medical insurance experience.

Preferred Qualifications:

• Demonstrate proficiency in medical terminology.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.