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Description
Location Site: Salem Hospital Main Campus
Department: SHMG Cardiology Clinic
Position Type: Full Time (40 hours/week)
Start Time: 8:00am (Mon-Fri)
Salem Health Overview
Pioneering healthcare since 1896, Salem Health is a top workplace offering highly competitive pay where you can make a difference in the lives of those in the community where you live. Through incorporation of Lean driven principles, staff are able effect change in the organization to solve problems, and drive continuous improvement.
As an employer of choice, we are devoted to assuring that we provide a safe, healthy, and patient-centric workplace, while keeping staff wellbeing and satisfaction top of mind.
We invite you to learn more about our wonderful community: There's something about Salem, Oregon!
Your Role With Us:
Referral Specialist - Salem Health Medical Group Cardiology Clinic
Primary Functions-
- Obtains, verifies completes and processes all authorizations and referrals ordered.
- Obtains pre-authorization or renewal of authorization as needed to ensure financial reimbursement.
- Ensures authorization number, diagnosis and ICD-10 codes are accurately recorded in Epic.
- Coordinates outgoing referrals by compiling necessary documents to be sent to external specialists.
- Completes EMR Documentation of: Authorizations, Denials, Patient contact, Communication to patient by letter, by phone, or by MyChart.
- Contacts insurance companies to solve and expedite referral processing barriers.
- Communicates with patients to clarify and/or update insurance information, referral locations, address insurance concerns.
- Verifies insurance benefits, using available systems and tools (HDX, PhTech, etc.) to determine eligibility, and completes MSPQ, as needed.
- Communicates with specialty offices and insurance companies to expedite urgent referrals.
Total Rewards Offerings:
Salem Health's comprehensive benefits package prioritizes your mental and physical health, financial stability, family obligations and professional growth.
- Relocation assistance available for qualified positions
- Full comprehensive medical, dental, and vision plans
- Basic and voluntary life insurance
- Short and long-term disability
- Live Well Wellness Program
- Employee Assistance Program (EAP)
- 401(K) retirement plan with employer contributions.
- Generous paid time off (PTO) accrual and holiday pay
- Onsite fitness center with 24/7 badge access
- Education assistance program
- Public service loan forgiveness (PSLF) eligible employer
- Food and drink discounts in the cafeteria.
- Impressive discounts offered by Nike, Adidas, Carhartt and others.
Background/Expertise:
Education:
- High School Diploma or Equivalent required.
Licenses/Certifications/Registrations:
- Certified Health Care Access Associate preferred.
Experience:
- One (1) year healthcare experience, in an admitting office, clinic, physician's office or insurance office performing patient registration and insurance verification required.
Special Skills, Knowledge and Abilities:
- Previous EPIC Prelude and Cadence experience a plus. College-level coursework in health care related fields, clinical or administrative, preferred.
- Keyboarding at 45 wpm.
- Familiarity with contractual nature of HMO and/or PPO insurance plans, Medicare and Medicaid, commercial, workers compensation and other 3rd party payers.
- Bilingual in English and Spanish preferred.
Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law.
Salem Health Hospitals and Clinics is committed to providing access, equal opportunity and reasonable accommodation for applicants. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact
