Swedish Health Services Referral Coordinator - Swedish Centralized Services in Seattle, Washington
Swedish Medical Group is calling a Referral Coordinator (1.0 FTE, Day Shift) to work in Swedish Centralized Services at Swedish Medical Group in Seattle, WA.
Capture defined referral information from Swedish Physician Division providers to specialists and facilities. Verify eligibility and benefits for risk patients.
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 the referrals to contracted provider network and owner hospital facilities.
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 Physician Division’s contracts with health plans and the patient referral process.
Required qualifications for this position include:
Appropriate education in coding and medical terminology. Or equivalent educ/experience
1 year Clinic setting or medical billing office within the last three years.
Preferred qualifications for this position include:
- Medical billing experience is a plus.
About Swedish Medical Group.
Swedish Medical Group (SMG) is a successful, performance-driven division of Swedish Health Services, the largest non-profit health provider in the Greater Seattle area. The SMG network includes 128 primary care and specialty care clinics.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
Our Mission is to improve the health and well-being of each person we serve.
Our Vision is Health for a Better World.
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.
Job Category: Patient Services
Work Locations: Bank Of America Bldg (WA239) 800 Fifth Ave Seattle, 98104
Req ID: 323285