Surgery Referral Specialist: Insurance & Care Coordination

PeaceHealth Corporation; Vancouver (WA); On-site; USD 35,000 - 48,000; Full time

Job summary

PeaceHealth is seeking a Referral Coordinator - General Surgery for a Full Time, 1.00 FTE, Day position. The role ensures referrals are processed, pre-authorizations obtained, and documentation filed in the patient’s chart.

Provides clerical support to the staff and aids in coordinating care within the episode of care. The position emphasizes collaboration with team members to optimize utilization, manage referrals, and support cost containment while maintaining compliance with insurance

Qualifications

• Minimum of 3 years experience in insurance in a medical-related field or related experience.
• Proficient with MS Office applications and Horizon Home Care.
• Accredited School Preferred: Business or two years college; Healthcare credentials preferred.

Responsibilities

• Oversees data entry and completion of referral forms/notifications.
• Obtains insurance pre-authorization and reauthorization of treatment.
• Communicates with patients, physicians, insurers, and billing staff to ensure coverage.
• Ensures documentation is filed in the patient record and supports cost containment.

Skills

Insurance requirements

MS Office

Horizon Home Care

Education

Business or two years college

Medical personnel qualification (MA/LPN/RN)

Job description

PeaceHealth is seeking a Referral Coordinator - General Surgery for a Full Time, 1.00 FTE, Day position. The role ensures referrals are processed, pre-authorizations obtained, and documentation filed in the patient’s chart.

Provides clerical support to the staff and aids in coordinating care within the episode of care. The position emphasizes collaboration with team members to optimize utilization, manage referrals, and support cost containment while maintaining compliance with insurance