Lead Referral Associate, Full Time, Days

Employment Type

: Full-Time


: Miscellaneous

Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.We're looking for someone to join our team as a Lead Referral Associate who:Leads the coordination of and completes referrals including acquiring and verifying third party information, obtaining and arranging appointments and tracking. Provides guidance to staff within the latitude of established work area and policies. Works on assignments that are considerably difficult requiring judgment in resolving issues or in making recommendations. Works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use.Essential Functions:* Communicates with ordering providers and nursing regarding insurance authorizations, denials, peer-to-peer review requests and scheduling difficulties with referrals to providers.* Informs patients of appointment information and instructions.* Maintains electronic health record (EHR) referral documentation to reflect actions on specific referrals (including adding incoming referrals that were not generated from the electronic health record (HER)). Maintains referral resource document.* Schedules referral appointments with appropriate department or referred to provider. Tracks referral patient compliance and communicate with referring provider as necessary regarding patients refusing service and patients not showing up to a referral appointment.* Submits retroactive authorization requests as needed.* Performs other job-related duties as assigned.You'll be successful with the following qualifications:Education:* High School Education/GED or equivalent: Preferred* Associate's / Technical Degree or equivalent combination of education/related experience: PreferredWork Experience:* Five years relevant experience: PreferredRequired Licenses/Certifications:* Certified Nurse's Assistant (CNA), Medical Assistant (MA), or medical terminology course: Preferred

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