Patient Authorization and Referral Representative - Patient Access at Providence Health Care, Inc

Lubbock, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Jun, 26

Salary

26.18

Posted On

24 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Telephone Calls, Pre-certifications, Referrals, Insurance Authorization, Information Gathering, Customer Service, Medical Office Experience, Electronic Medical Record System

Industry

Hospitals and Health Care

Description

The primary function of this position involves answering telephone calls from physician offices, inside and outside of the clinic in order to facilitate proper handling of patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with medical personnel from physician practices by phone and to gather appropriate patient information. This position reports to the Referral and Scheduling Supervisor or Clinic Supervisor/Manager. Providence caregivers are not simply valued – they’re invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: * 1 year of medical office experience. * 2 years of customer service experience. * Experience using Microsoft based systems. Preferred Qualifications: * 2 years of medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre-authorization, as well as using an electronic medical record system. Why Join Providence? Our best-in-class benefits [https://covenanthealth.jobs/employee-benefits/] are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission [https://www.covenanthealth.org/about-us/mission-vision-and-values/] of caring for everyone, especially the most vulnerable in our communities. At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits [https://providence.jobs/benefits/]. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act [https://s3-us-west-2.amazonaws.com/images.provhealth.org/HR-onboarding/LA_County_Fair_Chance_Ordinance_2024.pdf].

Responsibilities

The primary function involves answering telephone calls from physician offices to facilitate proper handling of patients requiring pre-certifications, referrals, RQI numbers, or any insurance authorization. Primary responsibilities include speaking with medical personnel from physician practices by phone to gather appropriate patient information.