The work location for this position is in Lewiston, Idaho

This is a PRN position (On-Call - No Benefits) - you will receive an additional 15% PRN pay in lieu of benefits

HOURS: 8am - 5pm 

POSITION SUMMARY:

This position monitors and processes referrals and orders submitted by St. Joseph Clinic providers.Referral Coordinators are responsible to work referrals and orders from assigned clinics/departments, as well as provide back-up to other clinics/departments as needed to accommodate the needs of the organization.Primary responsibilities include timely monitoring and processing of tasks in the buckets/inboxes within the EMR and corresponding related activities such as sending medical records, contacting payers, and collaborating with internal and external providers and healthcare entities.Referral Coordinator confirms accuracy of each order prior to submitting to the payer for processing.This may include use of medical necessity check (i.e., Code Check in Athena), payer policies, and/or other resources and tools.Documentation of all activities will be done within the EMR and in accordance with adopted workflows and protocols.This position represents the organization through interactions with both internal customers (healthcare providers and staff), external customers (other healthcare organizations & payers), as well as our patients.Excellent, professional written and verbal communication skills are needed to successfully perform the duties of this position.

PRIMARY DUTIES:

• Process Provider-to-Provider/Provider-to-Payer Referrals & Authorization
• Process Prior Authorization for Procedures/Services ordered and/or performed by St. Joseph Clinic Providers
• Internal and External Customer Service
• Collaboration with Stakeholders

Scion Health considers a consistently positive, cooperative, self-motivated, courteous, and professional attitude to be an essential function of every position. While different positions have different primary areas of responsibility, everyone needs to work as a team, and we expect all employees to roll up their sleeves and pitch in as necessary to get the job done.

Employees must be able to relate to other people beyond giving and receiving instructions: (a) can get along with co-workers or peers without exhibiting behavioral extremes, (b) perform work activities requiring negotiating, instructing, supervising, persuading, or speaking with others; and (c) respond appropriately to constructive feedback from a supervisor.

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g., emergencies, changes in workload, rush jobs or technological developments) dictate.

Required: • High School Diploma or equivalent • Minimum 3 years working in relevant healthcare position 

Preferred: • Prior experience working as a referral coordinator• Certification in billing or coding