Patient Authorization and Referral Representative - USFHP

Patient Authorization & Referral Representative USFHP

Make a meaningful impact where care begins. As a Patient Authorization & Referral Representative for US Family Health Plan (USFHP), you play a critical role in ensuring patients receive the right care at the right timewithout delays.

In this fast-paced, patient-focused role, you'll be the expert navigating referrals, verifying authorizations, and coordinating with providers and clinical teams. Your attention to detail and commitment to service helps eliminate barriers to care and creates a seamless experience for patients and families who rely on USFHP.

US Family Health Plan is a Department of Defense-sponsored health plan for uniformed services members, retirees and their family members. Based in Washington State, PacMed has administered US Family Health Plan for more than 30 years. We have learned best practices that keep people healthy efficiently and affordably. Due to our not-for-profit status, we can reinvest savings back into operations of the health plan, creating more support and healthier outcomes for beneficiaries.

Provides the administrative functions needed to support a smooth, efficient referral process; assists the utilization review and case management nurse with management of referrals and monitoring or institutional patients.

Providence caregivers are not simply valued they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers 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 Qualifications:

• 2 years Experience in medical related field.
• Previous experience in UR, health plan, or managed care environment.

Preferred Qualifications:

• LPN or health data services coder.

Why Join Providence?

Our best-in-class benefits 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 mission to advocate, educate and provide extraordinary care.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." 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.