Referral Coordinator The Referral Coordinator plays a critical role in ensuring patients are cleared for specialty medical, mental health, and alcohol and drug services prior to their appointments. This position is responsible for resolving pre-certifications, insurance authorizations, and case-related concerns to ensure patients are not financially obligated for services. The ideal candidate is highly organized, detail-oriented, and knowledgeable in insurance benefits, referrals, and authorizations. Key Responsibilities Obtain and manage initial and ongoing insurance and managed care benefits, understanding coverage limitations and requirements. Accurately document patient and client information, including insurance and grant billing, within the Electronic Health Record (EHR) system. Address patient and client inquiries related to enrollment, claims, benefit interpretation, and referrals/authorizations. Receive, respond to, and appropriately direct phone calls from patients, providers, and insurance vendors. Track referrals and authorizations using the EHR system to ensure timely processing. Coordinate with insurance carriers to obtain and transmit referral and authorization numbers. Communicate insurance updates to internal teams, including Billing, and assist with implementation of changes. Obtain required patient signatures prior to submitting referrals or authorization requests. Maintain strict confidentiality and compliance with HIPAA guidelines. Required Qualifications Associate Degree or equivalent, plus 24 years of relevant experience. Experience working in medical, mental health, and/or alcohol and drug treatment facilities. Familiarity with medical practice management systems and EHR platforms. Strong understanding of insurance vendor policies and procedures for referrals and authorizations. Proficiency in medical terminology and 10-key. Excellent interpersonal skills, organization, and attention to detail. Ability to follow established guidelines and execute complex written and verbal instructions. Ability to communicate tactfully and professionally with patients, providers, and the public. Details Location: Fully Onsite - Portland, OR 97202 Schedule: MondayFriday, 8:00 AM5:00 PM (After training, schedule may be flexible between 6:00 AM6:00 PM) Employment Type: 35 Month Contract (Leave of Absence Coverage) Pay Rate: $25/hour Start Date: ASAP Why Join LHH? We offer a comprehensive benefits package for eligible employees, including: Medical, dental, vision, and life insurance Short-term disability and voluntary benefits Employee Assistance Program (EAP) Commuter benefits and 401(k) plan Paid sick leave, and additional leave as required by law Pay Details: $25.00 per hour Search managed by: Erin Fuqua Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www-uat.lhh.com/us/en/candidate-privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Ref: US_EN_27_842405_3111017
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