Remote Prior Authorization Jobs in Springfield, OR

PeaceHealth is seeking a Centralized Scheduling Coordinator - Remote (OR) for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $21.30 - $33.27. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
This position is on the phone Monday - Friday; 9:00am - 5:30pm.
This position is represented by a collective bargaining agreement. There may be more than one opening on this posting.
Job Summary
Supports the Centralized/Integrated Scheduling department by coordinating surgeries, procedures, exams, therapies and evaluations for multiple hospital and outpatient departments, modalities and facilities. Facilitates equipment, third party schedules, prior authorization, physicians' schedules and staffing assignments. Coordinates efficient operation of the department by completing support activities as assigned.
Details of the Position

• Serves as central point of communication for community referring physicians and offices, system patient services, and caregivers to secure resources necessary for patient care. Interfaces and/or works directly with nursing units, technologists, physicians, community offices and other medical facilities to coordinate cases and appointments.

• Receives incoming phone calls related to all aspects of scheduling and coordination of patients and resources. Supports patients, caregivers, families and authorized organizations in understanding the course of pre-procedure and exam testing.

• Assures all changes to the block and schedule are in accordance with policies and alerts appropriate leadership when out of compliance. Promotes adherence to leadership and board agreements in scheduling practices.

• Collects and evaluates patient demographic, insurance, clinical and non-clinical information.

• Analyzes clinical information and/or patient medical history to determine conflicts regarding scheduling surgeries, procedures and exams that would require consultation and resolution.

• Analyses algorithm assigned to each department, modality and facility to identify how to best coordinate services. Assists in the update of guidelines and policies.

• Coordinates and schedules third party resources, equipment, caregivers and providers while maximizing efficiencies and contributing to positive patient and caregiver experiences.

• Maintains template, block and schedule for multiple hospitals and outpatient departments and resources.

• Identifies inaccuracies and missing data that would affect departments' financial results; monitors cancellation and rescheduling of cases and appointments to manage schedules, equipment and blocks; identifies potential resource conflicts and works with leadership to resolve.

• Ensures cases and appointments have prior authorization; may coordinate with PFS to inform patient of financial responsibility and prior authorization.

• Creates and runs reports by department and modality to audit performance. Audits and arranges cases and appointments to ensure maximum efficiency of physicians and caregivers.

• Obtains required paper work and/or electronic form for chart completion; ensures orders, history and physical, and consents are compliant

• Performs other duties as assigned.

What You Bring
Education

• Associate Degree Required: Or equivalent knowledge and skills obtained through a combination of education, training and experience
• Preferred: Completion of basic anatomy/physiology class related to exams, especially surgical pre and post-operative diagnosis and interventional procedures

Experience

• Minimum of 2 years Required: Scheduling and health records experience in a hospital or healthcare setting
• Preferred: Experience with scheduling
• Required: Experience with Electronic Medical Records system
• Preferred: Experience in scheduling multiple healthcare departments and/or facilities
• Preferred: Experience with compliance and legal documentation of orders, history and physical and consents
• Preferred: Clinical experience

Skills

• Must have the ability to work efficiently and responsibility in an environment with multiple demands, interruptions and time frames, with minimal supervision. (Required)
• Excellent customer service and clear and concise telephone skills. (Required)
• Advanced problem solving and critical thinking skills that demonstrate positive outcomes. (Required)
• Knowledge of Outlook and other Microsoft Office (Word, Excel, Publisher, etc.) applications. (Required)
• Proficient keyboarding and computer skills (Required)
• Knowledgeable of surgeries, procedures and exams performed in a hospital or an outpatient setting. (Preferred)
• Medical terminology knowledge (Preferred)

Working Conditions
Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.

Mental/Visual

• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state, or federal laws.