Surgery Referrals Specialist

PeaceHealth; Springfield (OR); On-site; USD 53,000 - 72,000; Full time

Job summary

PeaceHealth in Oregon is seeking a Referral Coordinator - General Surgery for a full-time, day position. The role ensures referrals are processed and pre-authorizations obtained, aligning with payor requirements.

You will support staff, coordinate with patients, physicians, and payors, and manage referral documentation in medical records. Candidates should have insurance experience in a medical field and proficiency with MS Office and Horizon Home Care.

Qualifications

• Experience working in insurance in a medical field.
• Proficient with MS Office applications.
• Proficient with Horizon Home Care.
• Minimum of 3 years of experience in a related role.

Responsibilities

• Oversees data entry and completion of referral forms/notifications.
• Obtains insurance pre-authorization for patients and reauthorization of treatment.
• Communicates with billing staff and third-party payors to assure coverage of patient care.
• Performs other duties as assigned.

Skills

Insurance experience

MS Office

Horizon Home Care

Education

Accredited School: Business or 2 years college

Medical Assistant, LPN, or RN

Credentials: NCMA or RN/LPN license (regional)

Oregon/Alaska/Washington license preference

Job description

PeaceHealth in Oregon is seeking a Referral Coordinator - General Surgery for a full-time, day position. The role ensures referrals are processed and pre-authorizations obtained, aligning with payor requirements.

You will support staff, coordinate with patients, physicians, and payors, and manage referral documentation in medical records. Candidates should have insurance experience in a medical field and proficiency with MS Office and Horizon Home Care.