Referral Coordinator - Cancer Program

Job Title: Referral Coordinator – Cancer Program (Full Time, 1.00 FTE, Day position)

Salary Range: $25.62 – $34.58 per hour

Assure that services approved by private payors have been performed and that additional visits are requested for patients throughout 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.

• Oversee the data entry and completion of referral forms/notifications.
• Obtain insurance pre‑authorization for patients and re‑authorization of additional treatment.
• Ensure insurance carrier documentation requirements are met and referral support documentation is filed in the patient’s medical record.
• Efficiently manage correspondence with patients, physicians, specialists, insurance companies.
• Document pertinent information on referral form and/or in the medical record.
• Ensure practitioners follow standardized guidelines as recommended by evidence‑based medicine.
• Communicate with billing staff and third‑party payors to assure coverage of patient care.
• Perform other duties as assigned.

• Accredited school preferred:
  Business or two‑year college and.
• Preferred:
  Medical Assistant, Licensed Practical Nurse, or Registered Nurse.
• Minimum three years’ experience working in insurance in a medical‑related field, or other related experience.
• Preferred:
  National Certified Medical Assistant.
• Preferred:
  Licensed Practical Nurse – Washington.
• 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, including GYN procedures and testing (Required).
• Proficiency with MS Office applications (Required).
• Proficiency with Horizon Home Care (Required).

• 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.
• Requires close visual acuity to perform activities such as preparing and analyzing data, transcribing, and viewing a computer terminal; extensive reading.

Peace Health offers a comprehensive total rewards package that includes full medical, dental, and vision coverage; a 403(b) retirement plan with employer base and matching contributions; paid time off; employer‑paid life and disability insurance with additional buy‑up coverage options; tuition and continuing education reimbursement; wellness benefits; and an expanded Employee Assistance Program (EAP) and mental health program.

Equal Employment Opportunity Applicant/Veteran/Disabled in accordance with applicable local, state, or federal laws.