Job Information
Praxis Health Referral and Prior Authorization Coordinator, High Lakes Health Care, Upper Mill in Bend, Oregon
Job Description
We are currently looking to add aMedication Prior Authorization Coordinator 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. Aside from possessing the qualities that any patient care role requires, this position necessitates one of the most daunting skill sets in the healthcare industry- the ability to fluently speak insurance. 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!
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.
Schedule:Monday - Friday, 8 AM - 5 PM
Benefit Highlight
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
We are excited to share with you a short video that shows why the Praxis Health family is so special. Please click here: https://youtu.be/MrNWtn42prY
Essential Job Functions
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.
Minimum Qualifications
Education and/or Experience:
High School diploma or general equivalency diploma (GED).
Education and/or work experience in medical insurance authorizations and insurance coding preferred.
Extensive customer service experience.
Minimum two years of experience in a medical office setting preferred.
About Us
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 than 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 are pioneers and thought leaders in the industry. Our commitment to innovative and operational excellence has allowed us to create healthcare solutions that are both cost-efficient and cutting edge.
Come see how healthcare is done right!
General Physical Requirements
Physical Demands
Manual dexterity for office machine operation including computer and calculator; stooping, bending to handle files and supplies, sitting for extended periods of time. The employee must regularly lift and/or move up to 10 pounds, frequently life and/or move up to 25 pounds and occasionally life and/or move up to 50 pounds. Stress can be triggered by multiple staff demands and deadlines. Must be able to sit, stand, kneel, crawl, bend and twist as needed. Requires walking on non-level surfaces, inside and outside the office, throughout the day.
Work Environment
Work is performed in an office environment. Involves frequent contact with staff.
Equal Opportunity Statement
EOE Disabled/Veteran
Praxis Health is an Equal Opportunity Employer and provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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LocationUS-OR-Bend
Job ID 2024-5960
Positions 1
Category Medical Clinic (MA,RN,PA,ETC)
Schedule Monday - Friday, 8 AM - 5 PM
Bilingual Not Required
Travel No