Referral Specialist- Limited Duration
Salem, OR, US
Administrative / Clerical Support
Full Time
Job ID: #13028
Location Site: Salem Hospital Main Campus
Department: SH Financial Clearance
Position Type: Full Time ( Limited Duration)
Start Time: 8:00
Pioneering healthcare since 1896, Salem Health is a top workplace offering highly competitive pay where you can make a difference in the lives of those in the community where you live. Through incorporation of Lean driven principles, staff are able effect change in the organization to solve problems, and drive continuous improvement.
As an employer of choice, we are devoted to assuring that we provide a safe, healthy, and patient-centric workplace, while keeping staff wellbeing and satisfaction top of mind.
We invite you to learn more about our wonderful community: There’s something about Salem, Oregon!
Your Role With Us:
- Responsible for courteously and professionally screening patients by phone, obtaining accurate demographic, guarantor, and financial information; assigns the correct medical record and account number providing a database which assures accurate billing and clinical information.
- Verifies insurance eligibility & benefits utilizing a variety of online and Epic system resources. Obtains appropriate authorizations/ referrals according to payer requirements. Assures notification of admission are submitted per payor requirements.
- Complete work queues daily to correct any errors with Registrations. Provides feedback to Access Service leadership as trends are identified.
- Research and respond within 3 days to all queries on reimbursement denial notifications from insurance payers.
- Communicates issues, concerns, findings related to coverage and benefits with appropriate stake holders, including patients. Notifies patients of expected out of pocket amounts due and facilitates payment in advance or at time of service.
Total Rewards Offerings:
Salem Health's comprehensive benefits package prioritizes your mental and physical health, financial stability, family obligations and professional growth.
- Relocation assistance available for qualified positions
- Full comprehensive medical, dental, and vision plans
- Basic and voluntary life insurance
- Short and long-term disability
- Live Well Wellness Program
- Employee Assistance Program (EAP)
- 401(K) retirement plan with employer contributions.
- Generous paid time off (PTO) accrual and holiday pay
- Onsite fitness center with 24/7 badge access
- Education assistance program
- Public service loan forgiveness (PSLF) eligible employerhttps://studentaid.gov/
- Food and drink discounts in the cafeteria
- Impressive discounts offered by Nike, Adidas, Carhartt and others
Background/Expertise:
-
One (1) year healthcare experience, in an admitting office, clinic, physician’s office or insurance office performing patient registration and insurance verification required.
-
Minimum of two (2) years experience in patient registration and insurance verification, OR medical insurance billing required.
-
Previous EPIC Prelude and Cadence experience preferred
-
National Healthcare Access Management, Certified Healthcare Access Associate preferred
- Strong organizational skills and the abilities to prioritize work and manage time.
- Ability to maintain confidentiality of all information related to patients, medical staff, and employees and as appropriate other information.
- Familiarity with contractual nature of HMO and/or PPO insurance plans, Medicare and Medicaid, commercial, workers compensation and other 3rd party payers.
- Understands the principles of teamwork, models a positive attitude, and the skills to engage in conversations that promotes problem solving and a positive exchange of individual ideas.
- Ability to coordinate multiple priorities and concerns while working in a busy, multidisciplinary setting producing quality work with maximum productivity.
- Bilingual in English and Spanish preferred.
Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law.
Salem Health Hospitals and Clinics is committed to providing access, equal opportunity and reasonable accommodation for applicants. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact my.recruiter@salemhealth.org
Location Site: Salem Hospital Main Campus
Department: SH Financial Clearance
Position Type: Full Time ( Limited Duration)
Start Time: 8:00
Pioneering healthcare since 1896, Salem Health is a top workplace offering highly competitive pay where you can make a difference in the lives of those in the community where you live. Through incorporation of Lean driven principles, staff are able effect change in the organization to solve problems, and drive continuous improvement.
As an employer of choice, we are devoted to assuring that we provide a safe, healthy, and patient-centric workplace, while keeping staff wellbeing and satisfaction top of mind.
We invite you to learn more about our wonderful community: There’s something about Salem, Oregon!
Your Role With Us:
- Responsible for courteously and professionally screening patients by phone, obtaining accurate demographic, guarantor, and financial information; assigns the correct medical record and account number providing a database which assures accurate billing and clinical information.
- Verifies insurance eligibility & benefits utilizing a variety of online and Epic system resources. Obtains appropriate authorizations/ referrals according to payer requirements. Assures notification of admission are submitted per payor requirements.
- Complete work queues daily to correct any errors with Registrations. Provides feedback to Access Service leadership as trends are identified.
- Research and respond within 3 days to all queries on reimbursement denial notifications from insurance payers.
- Communicates issues, concerns, findings related to coverage and benefits with appropriate stake holders, including patients. Notifies patients of expected out of pocket amounts due and facilitates payment in advance or at time of service.
Total Rewards Offerings:
Salem Health's comprehensive benefits package prioritizes your mental and physical health, financial stability, family obligations and professional growth.
- Relocation assistance available for qualified positions
- Full comprehensive medical, dental, and vision plans
- Basic and voluntary life insurance
- Short and long-term disability
- Live Well Wellness Program
- Employee Assistance Program (EAP)
- 401(K) retirement plan with employer contributions.
- Generous paid time off (PTO) accrual and holiday pay
- Onsite fitness center with 24/7 badge access
- Education assistance program
- Public service loan forgiveness (PSLF) eligible employerhttps://studentaid.gov/
- Food and drink discounts in the cafeteria
- Impressive discounts offered by Nike, Adidas, Carhartt and others
Background/Expertise:
-
One (1) year healthcare experience, in an admitting office, clinic, physician’s office or insurance office performing patient registration and insurance verification required.
-
Minimum of two (2) years experience in patient registration and insurance verification, OR medical insurance billing required.
-
Previous EPIC Prelude and Cadence experience preferred
-
National Healthcare Access Management, Certified Healthcare Access Associate preferred
- Strong organizational skills and the abilities to prioritize work and manage time.
- Ability to maintain confidentiality of all information related to patients, medical staff, and employees and as appropriate other information.
- Familiarity with contractual nature of HMO and/or PPO insurance plans, Medicare and Medicaid, commercial, workers compensation and other 3rd party payers.
- Understands the principles of teamwork, models a positive attitude, and the skills to engage in conversations that promotes problem solving and a positive exchange of individual ideas.
- Ability to coordinate multiple priorities and concerns while working in a busy, multidisciplinary setting producing quality work with maximum productivity.
- Bilingual in English and Spanish preferred.
Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law.
Salem Health Hospitals and Clinics is committed to providing access, equal opportunity and reasonable accommodation for applicants. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact my.recruiter@salemhealth.org
Share this job:
Career exploration program
Whatever your background or career aspirations, there’s a place for you at Salem Health. And our Career Exploration Program can help you identify the ideal opportunity to pursue. The Program allows you to work alongside a healthcare professional as you gain insight into a fulfilling hospital career.
Nursing
Since 2010, Salem Hospital has continuously achieved Magnet™-designation – the gold standard for nursing excellence. Only eight percent of all hospitals achieve this prestigious distinction.
We’ve been able to do this by maintaining a nursing culture that is defined by:
- Consistent teamwork and collaboration
- Exemplary resources to support clinical nurses
- Engaged and inspiring leadership
- A focus on well-being, resilience, diversity, equity, and inclusion
- Strong professional development opportunities
- Pride in delivering quality-of-care that exceeds national norms
- An empowering professional governance structure and professional practice model
- New grad residency support, preceptorship, and mentoring
- Open and transparent strategy alignment
- Feedback is encouraged, valued and incorporated from the staff at all levels.
- Partnerships with community organizations that support improved patient outcomes
If you’re looking for a setting where you can achieve your highest potential as a nurse, we invite you to join us. We welcome all nurses, including those from outside of the United States. At Salem Health, you can experience an inclusive culture that values and rewards your unique qualities and background.
RN residency program
Begin your journey from student nurse to confident practitioner with our RN Residency Program. The program features a combination of didactic lessons, simulation, and track-specific class options. It begins with orientation and training and proceeds to preceptorship and mentorship. Through the program, you will gain clinical expertise as well as valuable professional skills such as communication and critical thinking.
Certified nursing assistants
As a certified nursing assistant (CNA), your contributions are absolutely crucial. You will provide compassionate reassurance and vital patient support in order to ensure our patients receive the highest quality care possible. You will receive competitive compensation as you provide patients with physical care and emotional support. We seek empathetic, and non-judgmental individuals with a sincere passion for elevating others’ lives.
Postgraduate year 1 pharmacy residency program
The Salem Health Postgraduate Year 1 (PGY1) Residency Program enhances your PharmD education as you develop your clinical expertise in the medication-related care of patients with a wide range of conditions. The program will be eligible for board certification, and eligible for postgraduate year 2 (PGY2) pharmacy residency training. Upon completion of the Salem Health PGY1 residency, we believe you will be a confident and highly capable general practitioner, and well-prepared for the next step in your career.
We will meet you wherever you are on your career journey, and walk with you to your destination
There are over 900 unique positions to choose from at Salem Health. Whatever your background or your professional and personal aspirations, we offer an inclusive learning environment where you can achieve your highest potential in a career that grows with you. And, we’ll help you along the way with perks like tuition reimbursement and certification bonuses.
With so many options, why work anywhere else?
Career tree
