Work in Washington Veterans Jobs

Legacy Health

Revenue & Referral Intake Specialist

Equal Opportunity Employer/Vet/Disabled

US-WA-VANCOUVER

Job ID: 24-39774 Type: Regular Full-Time Vancouver Oncology

Overview

[You know that your job is about much more than gathering referral and payer information. As a Revenue and Referral Intake Specialist, you are the important link between patients and physician referrals. You are the calm presence that provides all parties with the information they need for the best possible experience. You treat all parties with the dignity that is a hallmark of the Legacy community. If this describes you, we'd like you to consider this opportunity.]{arial",="" sans-serif;="" font-size:="" 12pt"=""}

[[The Revenue and Referral Intake Specialist (RRIS) provides support to patients, providers, and staff for a wide variety of complex tasks such as initial patient registration, scheduling evaluation(s), referral, insurance authorization, charge and coding review.]{arial",="" sans-serif"=""}]{arial",="" sans-serif;="" font-size:="" 12pt"=""}

Responsibilities

[[REFERRALS/ PRIOR AUTHORIZATION]{.underline}:]{arial",="" sans-serif"=""}

[Processing of all referrals and prior authorizations (hereafter referred to as 'referral') to ensure timely handling in order to meet the department's financial, customer service and regulatory standards.]{arial",="" sans-serif"=""}

[ Provides education and customer service to providers, staff and patients regarding the department referral process.]{arial",="" sans-serif;="" color:="" rgba(0,="" 0,="" 1)"=""}

[ Provides data entry and clerical support for the referral process for both pre-paid and fee-for-service health plans.]{arial",="" sans-serif;="" color:="" rgba(0,="" 0,="" 1)"=""}

[ Understands each health plan's guidelines, benefits and basic risk models.]{arial",="" sans-serif;="" color:="" rgba(0,="" 0,="" 1)"=""}

[Understands and follows department's referral processes and procedures.]{arial",="" sans-serif"=""}

[Performs insurance verification and authorization including eligibility checks and complex phone calls to insurance companies to determine patient coverage]{arial",="" sans-serif"=""}

[Performs ongoing insurance reauthorization as needed]{arial",="" sans-serif"=""}

[Understands and follows department's referral processes and procedures.]{arial",="" sans-serif"=""}

[Identifies and resolves patient, provider, department and insurance company concerns, requests and problems related to referral issues.]{arial",="" sans-serif"=""}

[[CHARGE CAPTURE]{.underline}:]{arial",="" sans-serif"=""}

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