Referral and Authorization Specialist, Eugene

Referral and Authorization Specialist, Eugene OR

Oak Street Medical Primary Care
, part of Praxis Health, is currently looking to add another Referral and Authorization Specialist to our team who can help support our growing needs. We hope to find the perfect fit for our team soon! If you are a fast learner, hard worker and overachiever, this position might be for you. Our current team and leadership are willing to provide any needed training and support to make the person we hire successful, but a background in the insurance industry would give any candidate a step up!

Schedule: Monday - Friday, 8:00am - 5:00pm

• Medical, Dental, Vision with In-Network & Custom Network discounts
• 401(K) with discretionary employer match
• Paid Time Off
• Free clinical diagnostic laboratory testing performed in-house

This position is customer service and patient care intensive. The ideal applicant is someone who is comfortable and willing to explain coding and billing over the phone with not only patients- but insurers, medical staff and providers.

Duties of this position will include obtaining prior authorizations for services that are not customary plan benefits, calling on referrals, scheduling and interacting with patients, Primary Care Physicians and/or Referring Physicians, data entry, patient file and records maintenance, etc.

• Obtains prior authorizations and referrals.
• Inputs correct data into Intergy.
• Performs clerical duties related to clinical service.
• Prepares and processes correspondence.
• Answers telephone, takes messages, and provides information.
• Requests, locates, sends and receives patient records.
• Monitors internal communications including but not limited to task, emails, and voice
  mails.
• Maintains files and assists establishing office systems.
• Assists in the care and maintenance of office equipment.
• Fulfills clerical responsibilities as assigned that may include sending/receiving patient
  medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.;
  scheduling appointments; verifying insurance coverage; managing and updating EMR
  charts to ensure that information is complete and filed appropriately.
• Fulfills the organizations responsibilities as assigned including; respecting and promoting
  patient's rights; sharing problems with immediate supervisor.
• Other duties as assigned.
• Reliable attendance and presence at work.

• Background in insurance authorization and scheduling.
• Extensive customer service experience.
• Minimum two years of experience in a medical office setting.

• 1–3 years working in a healthcare office or clinic setting
• Experience processing medical referrals and prior authorizations
• Familiarity with insurance plans (HMO, PPO, Medicare, Medicaid)
• Comfortable using Electronic Medical Records (EMR) systems
• Able to read and understand basic medical notes and referrals
• Experience talking with patients about referrals and authorizations
• Organized and able to track referral status and follow up as needed

Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. Our community-based clinics are the DNA of our business, providing better medicine, advocacy for our patients, and a satisfying and collaborative culture for our providers and staff. The Praxis family approach is dynamically different from other healthcare companies in Oregon. We are not "big box" health care, but rather a company of small groups and clinics, of nimble micro-cultures that can quickly adapt to industry changes, as well as patient needs.

We have been serving communities across the beautiful and adventurous state of Oregon for over 50 years! And we…