Job Description

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The Patient Authorization and Referral Representative (PARR) is responsible for the implementation of policies and procedures relating to aspects of the Referral Operations department in Providence Medical Group (primary care and specialty clinics) and performs duties supporting the core functional areas of specialist referral processing, diagnostic authorizations, prior authorization, denials/appeals, and training. The work focuses on department support of activities such as: production, service level agreements, strategic outcomes, standards and objectives, and performance improvement activities relevant to Referrals Operations.

Providence caregivers are not simply valued - they\'re invaluable. Join our team at Providence 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 qualification:

• H.S. Diploma or GED
• 2 years Experience in Health Care Industry or related field.

• Physician Office
• Revenue Cycle
• Physician or Hospital Billing
• Health Insurance
• Outpatient ambulatory
• Clinical Quality
• Experience in a referral management functional area such as prior authorization, referrals, appeals, business office or insurance health plans.

Preferred qualification:

• Bachelor\'s Degree Or equivalent educ/experience

• The position requires a minimum of 2 years experience in an healthcare system. Experience in Professional Billing Revenue Cycle Management is preferred.
• Epic software experience.

Why Join Providence?

Our 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 of caring for everyone, especially the most vulnerable in our communities.

About Us: At Providence, our strength lies in Our Promise of \xe2\x80\x9cKnow me, care for me, ease my way.\xe2\x80\x9d 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.

The amounts listed 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.

Check out our for more information about our Benefits and Rewards.

About the Team: Providence Physician Enterprise (PE) 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.

PE 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.

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.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Providence Health & Services