JOB TITLE: Clinic Referral & Authorization Specialist
At Santiam Hospital & Clinics, we pride ourselves on fostering a supportive and inclusive work environment where every team member is valued and empowered to make a difference. Our commitment to excellence in patient care is matched by our dedication to employee growth and well-being. As part of our team, you’ll have access to cutting-edge medical technology, ongoing professional development opportunities, and a collaborative culture that encourages innovation and teamwork. Join us at Santiam Hospital & Clinics, where your skills and compassion will be appreciated, and together, we can make a positive impact on the health and lives of our community.
With 11 clinics offering 8 specialties, you’ll be part of a diverse and dynamic healthcare community. We’re proud to have been named the 2024 Best Place to Have a Baby, Best Hospital as well as receiving accolades for our Surgery Center and Women’s Clinic, reflecting our unwavering commitment to providing exceptional care for our patients.
Compensation: $23.00
Job Summary: Full Time. All clinics are open Monday through Friday.
Responsibilities:
1. Functions Specific to Role as Authorization Specialist
1.1. Patient Referral
• Process all Hospital Medical Clinics requests for patient referral to external providers.
• Process all Medical Clinics requests for patient referral to advanced diagnostic imaging services, including computed tomography, magnetic resonance imaging, and nuclear medicine imaging.
• Assess needs for insurance company authorization of referrals, and obtain such authorization when indicated.
AM 3.4.12.3.2.: AUTHORIZATION SPECIALIST JOB DESCRIPTION REV. EV: 04.24
• Collect Medical Clinics documentation necessary for referral provision, and submit such documentation to applicable providers.
• Provide follow-up to ensure that every referred patient is scheduled appropriately.
• Provide follow-up to ensure that documentation about every given referral patient appointment is forwarded to the Medical Clinic where referral was initially requested.
• Compile referral statistics, and report such statistics as directed by Medical Clinics Operations Manager.
1.2. Administrative Duties
• Appropriately answer, transfer, and document internal and external telephone calls, providing information and feedback to Medical Clinics Department Staff and Medical Staff.
• Participate in Department Performance Improvement activity as directed by Medical Clinics Director.
• Coordinate service provision with that of Medical Clinics and Hospital Departments.
• Adeptly use electronic medical record and patient management system.
