Providence Health & Services Referral Coordinator (On-Call) - Call Center, Everett in Everett, Washington
Providence is calling an (on-call) Referral Coordinator to Providence Health & Services in Everett, WA
The Referral Coordinator will obtain authorizations for patient referrals to specialists, diagnostic testing and surgeries. Collect and verify insurance authorization requirements to ensure payer requirements are met in a timely manner. Effectively communicate with internal and external customers including medical providers, clinic staff, and insurance companies. Maintain ongoing tracking and appropriate documentation on referrals and authorizations via computer system and/or manual systems. Support the mission and core values of Providence Health & Services through responsible and effective work performance
In this position you will:
Obtain authorization with third party insurance companies for referrals to specialists, diagnostic testing and surgeries.
Verify insurance coverage and authorization requirements for referral orders.
Provide specialists office with medical records of primary care.
Review scheduled appointments and ensure that required authorization and/or referrals are in place prior to patient visits.
Monitor all assigned work queues and processes ensure that referrals and authorizations are responded to in a timely manner.
Assist with prioritizing work activities including evaluating and modifying processes when necessary.
Maintain confidentiality of records, patient, employee or medical center information at all times.
Ensure all information and conversations regarding patients are secured from general public access.
Required qualifications for this position include:
High School Diploma or GED.
Three years of customer service experience and clerical experience in a medical facility.
Medical billing and coding experience.
About the clinic you will serve.
Providence Medical Group is a group of primary care, specialty care and hospital-based medical providers who serve Snohomish County in more than 10 locations in scenic northwest Washington. Our providers and staff strive to create a distinctive health care experience for each patient – one focused on trust, respect, communication and teamwork.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 76,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 475 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.
Schedule: On Call
Job Category: Billing / Insurance
Req ID: 144985