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

Lubbock, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Aug, 26

Salary

26.18

Posted On

08 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Medical Office Administration, Insurance Pre-certification, Referral Management, Microsoft Office, Electronic Medical Records, Patient Information Gathering, Telephone Communication

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: * 2 years of customer service experience. * 1 year of medical office 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]. Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer [https://www.providenceiscalling.jobs/eeo/]. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity [https://providence.jobs/diversity/] makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Responsibilities

The role involves handling telephone calls from physician offices to facilitate pre-certifications, referrals, and insurance authorizations. The representative is responsible for gathering appropriate patient information from medical personnel to ensure proper patient access.