Patient Authorization and Referral Representative - Grace Clinic Scheduling

Overview

The primary function of this position involves answering telephone calls from physician offices, inside and outside of the clinic in order to facilitate proper handling of patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with medical personnel from physician practices by phone and to gather appropriate patient information. This position reports to the Referral and Scheduling Supervisor or Clinic Supervisor/Manager.

• Answer telephone calls from physician offices, inside and outside of the clinic, to facilitate proper handling of patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company.
• Speak with medical personnel from physician practices by phone and gather appropriate patient information.

• 1 year Medical office experience.
• 2 years customer service experience.
• Experience using Microsoft based systems.

• 2 years Medical office experience dealing with scheduling, telephone calls, prior pre-certification/pre-authorization, as well as using an electronic medical record system.

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.

Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon;
Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington;
Kadlec in southeast Washington;
Providence’s St. John’s Medical Foundation in Southern California;
Providence Medical Institute in Southern California;
Providence Facey Medical Foundation in Southern California;
Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment 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.

We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requisition : 411048

Company: Covenant Jobs

Job Category: Patient Access

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 8011 SCHEDULING 4515 MARSHA SHARP FWY

Address: TX Lubbock 4515 Marsha Sharp Fwy

Work Location: Grace Clinic

Workplace Type: On-site

Pay Range: $15.40 - $23.08

The base pay range noted; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.