What are the responsibilities and job description for the Referral Coordinator - Home Health position at PeaceHealth?
Description
Job Description
PeaceHealth is seeking a Referral Coordinator - Home Health for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $25.62 – $34.58. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
Job Summary
Assure that the services that are approved by private payors have been done and that we request more visits for patients as we continue through the episode of care. May also be responsible for management of referrals; working closely with team members to ensure optimum utilization and cost containment. Provides clerical support and assistance to staff.
Essential Functions
Education
Lifting
See how PeaceHealth is committed to
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
Job Description
PeaceHealth is seeking a Referral Coordinator - Home Health for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $25.62 – $34.58. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
Job Summary
Assure that the services that are approved by private payors have been done and that we request more visits for patients as we continue through the episode of care. May also be responsible for management of referrals; working closely with team members to ensure optimum utilization and cost containment. Provides clerical support and assistance to staff.
Essential Functions
- Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre-authorization for patients and reauthorization of additional treatment. Ensures insurance carrier (including Medicare) documentation requirements are me and referral support documentation is filed in patient’s medical record.
- Efficiently manages correspondence with patients, physicians, specialists, insurance companies. Documents pertinent information on referral form and/or in medical record. Ensures practitioners are following standardized guidelines as recommended by evidenced based medicine.
- Communicates with billing staff and third-party payors to assure coverage of patient care.
- Performs other duties as assigned.
Education
- Accredited School Preferred: Business or two years college And
- Preferred: Medical Assistant, Licensed Practical nurse, or Registered Nurse
- Minimum of 3 years Required: Experience working in insurance in a medical related field, or other related experience
- Preferred: National Certified Medical Assistant or
- Preferred: Licensed Practical Nurse - Washington or
- Preferred: Registered Nurse
- Demonstrated experience in insurance requirements for referrals and /or prior authorizations to various therapies (PT, RT, OT, ST), surgeries, procedures, diagnostic testing, and infusions. GYN procedures, testing, etc. (Required)
- Proficient with MS Office applications (Required)
- Proficient with Horizon Home Care (Required)
Lifting
- Consistently operates computer and other office equipment.
- Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
- Sedentary work.
- Predominantly operates in an office environment.
- Ability to communicate and exchange accurate information.
- The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
See how PeaceHealth is committed to
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
Salary : $26 - $35