Nov 19, 2021

Referral Coordinator- Clinic - Specialty Clinic Support

  • Providence
  • Edmonds, WA, USA
Full-time

Job Description

Description:

Swedish is callin for a Referral Coordinator- Clinic $1,500 Sign-On Bonus (1.0 FTE, Day shift) to work in Specialty Clinic Support at Swedish Edmonds in Edmonds, WA.

Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system.

At Swedish, we are passionate about healthcare for our caregivers. Full-time caregivers (0.75-1.0 FTE) who earn less than $60,000 per year will be offered the Swedish PPO Medical Plan with a $0 premium cost, including dependent coverage.

Capture defined referral information from regional healthcare providers to specialists. Verify eligibility and benefits for patients requiring prior authorization for procedures, diagnostics and medications.

In this position you will:

  • Maintain complete and accurate computer files on defined referrals in the computer system. Timeliness of referral processing meets NCQA Guidelines.
  • Implement systems and provide service to reduce provider time spent on referral process, thus increasing time available for direct patient care.
  • Obtain authorization from insurance companies in a timely manner for patient visits or procedures.
  • Facilitate referrals to Swedish Providers and other specialists.
  • Educate patients to be accountable for their benefit coverage and choosing a contracted specialist.
  • Maintain up-to-date knowledge of insurance plans and educate providers and staff. Understand Swedish contracts with health plans and the patient referral process.

Qualifications:

Required qualifications:

  • H.S. Diploma or GED Or equivalent educ/experience
  • Completion of coding and medical terminology course Or equivalent educ/experience
  • 1 year Work experience in and outpatient clinic setting or medical billing office
  • 6 months Experience managing referrals and prior authorizations in an EPIC environment
  • Background in computer data input utilizing office practice management software, Word and/or Access.

About the Edmonds Campus.

Swedish/Edmonds (formerly Stevens Hospital) has been providing sound and thoughtful care for patients in the greater Seattle area for more than 45 years. We pride ourselves in employing only the most qualified and caring professionals. We are not simply a hospital or a workplace. We are a family. We are a community. Our mission is to improve the health and well-being of the community through local, high-quality and compassionate health care services. On Sept. 1, 2010, Stevens joined the Swedish family and became Swedish/Edmonds to create an innovative, regional health-care delivery network that provides more local services, while giving residents greater access to the latest medical treatments and the comprehensive services of the Swedish system.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://swedish.jobs/why-swedish/#benefits-rewards

Our Mission

Our Mission is to improve the health and well-being of each person we serve.

Our Vision is Health for a Better World.

About Us

Swedish is the largest not-for-profit health care system in the greater Seattle area. It is comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah); emergency rooms and specialty center in Redmond (East King County) and the Mill Creek area in Everett; and Swedish Medical Group, a network of more than 128 primary care and specialty care locations throughout the greater Puget Sound area. Swedish employs nearly 13,000 caregivers (all employees), including nearly 1,400 providers. Whether through physician clinics, education, research and innovation or other outreach, we're committed to caring for the people in our region and beyond. Swedish is proud to be an Equal Opportunity Employer Swedish does not discriminate on the basis of race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Patient Services

Location: Washington-Edmonds

Work Locations: Edmonds Medical Plaza (WA164) 21616 76th Ave W Edmonds, 98026

Req ID: 311635