Purchased Referred Care Specialist

Job Description

Job Description

Purchased/Referred Care (PRC) Specialist Healthcare Referrals & Claims

Support access to outside medical care by coordinating referrals, eligibility, authorizations, and claims for a community-focused tribal healthcare program.

• Compensation: $22.00 - $30.00 per hour, DOE

• Job Site Location: Skokomish, WA

• Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM

• Job Type: Temp-to-Hire

• Anticipated Start Date: ASAP

• Benefits:

  • Weekly Pay

  • Direct deposit & debit card payment options

  • Health, vision, dental, life, and disability insurance

  • Paid sick leave in accordance with applicable Washington law

  • Eligibility requirements and waiting periods may apply

• Other Compensation: No additional compensation has been specified for this assignment

• Build valuable experience in Purchased/Referred Care (PRC), healthcare referrals, claims, and patient services

• Enjoy a consistent Monday-Friday daytime schedule with weekends off

• Help patients access necessary specialty and outside healthcare services

• Gain the opportunity to transition into a long-term position through this temp-to-hire role

• Coordinate Purchased/Referred Care (PRC) referrals and authorizations for eligible patients receiving care from outside healthcare providers

• Review patient eligibility, referral documentation, residency requirements, and available alternate healthcare resources

• Process PRC requests, purchase orders, authorizations, claims, and supporting documentation accurately and efficiently

• Communicate with patients, medical providers, insurance carriers, and internal healthcare staff regarding referral and payment requirements

• Verify insurance coverage and other alternate resources, including Medicare, Medicaid, VA benefits, and private insurance when applicable

• Track referrals, claims, authorizations, and outstanding documentation to help ensure timely processing and continuity of care

• Assist with resolving denied, incomplete, or questioned claims and maintain accurate records within applicable healthcare systems

• Protect confidential patient information and follow established privacy, healthcare, and organizational procedures

Required:

• High school diploma or equivalent

• Previous experience in healthcare administration, medical billing, insurance, referrals, patient services, or a related field

• Strong attention to detail and ability to accurately manage confidential records and documentation

• Proficiency with computers, data entry, email, and office software

• Strong organizational, communication, and customer service skills

• Ability to work effectively with patients, healthcare providers, insurance representatives, and internal teams

• Ability to understand and follow detailed healthcare policies, procedures, and eligibility requirements

Preferred:

• Previous experience with Purchased/Referred Care (PRC), Indian Health Service (IHS), tribal healthcare, or community health programs

• Knowledge of medical claims, referrals, prior authorizations, insurance verification, or healthcare reimbursement

• Familiarity with Medicare, Medicaid, private insurance, and other healthcare coverage resources

• Experience working with electronic health records, patient management systems, or medical billing software

Our client is a community-focused tribal government organization dedicated to providing essential healthcare and support services to the people it serves. The organization values respect, service, cultural connection, and responsible stewardship of community resources. Employees contribute to a mission-driven environment where accurate, compassionate administrative support helps community members access important healthcare services.

Apply now, for immediate consideration for this Purchased/Referred Care (PRC) Specialist position!

Submit your application and resume through Ascend Staffing. Our recruiting team will review your qualifications, and qualified candidates will be contacted to discuss the opportunity and next steps. Candidates selected to move forward will receive additional information about the assignment and hiring process.

Ascend Staffing connects qualified job seekers with employers looking for dependable talent and valuable skills. As an Ascend Staffing associate, you can expect responsive recruiter support, weekly pay, and convenient payment options. We work to connect candidates with opportunities that match their skills, schedules, and career goals while providing support throughout the hiring process.

• Olympia Branch

• Call: View phone number on ziprecruiter.com

• Text: View phone number on ziprecruiter.com

• Visit: 5707 Lacey Blvd SE, Lacey, WA 98503

• Online: Ascend Staffing - Olympia

• Follow us on Facebook: Ascend Staffing Olympia

Ascend Staffing is an Equal Opportunity Employer, embracing diversity and the inclusion of all individuals regardless of race, color, religion, sex, national origin, sexual orientation, age, disability, or genetics in accordance with federal, state, and local laws.

Job ID: 38216280
@6055
@IN6055
@ZR6055
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A True Partner in Your Success:
Ascend staffing has been connecting great people with great opportunities for over 50 years. Many of our talented workers stay with us for years because they like what they get from Ascend.

What We Offer:
Weekly Pay
Direct Deposit and Debit Card Payment Options
Medical, Dental, and Vision Coverage
Life and Short-term Disability Insurance

Our Purpose Statement:
Our purpose is to partner with employees, clients, and the community to create opportunities for growth and mutual success.

The Ascend Difference:
We do what we say we will do.
We are direct and transparent.
We find real opportunities with great employers.
We support our talent every step of the way.
We make a difference in people’s lives.

How We Help You:
Our recruiters aren’t just about filling jobs. They are about helping you achieve your goals. We put thousands of people to work every year in temporary, temporary-to-hire and direct hire placements.

We are always looking for great people. Apply today!

Company Description

A True Partner in Your Success:\r\nAscend staffing has been connecting great people with great opportunities for over 50 years. Many of our talented workers stay with us for years because they like what they get from Ascend. \r\n\r\nWhat We Offer:\r\nWeekly Pay\r\nDirect Deposit and Debit Card Payment Options\r\nMedical, Dental, and Vision Coverage\r\nLife and Short-term Disability Insurance\r\n\r\nOur Purpose Statement:\r\nOur purpose is to partner with employees, clients, and the community to create opportunities for growth and mutual success.\r\n\r\nThe Ascend Difference:\r\nWe do what we say we will do.\r\nWe are direct and transparent.\r\nWe find real opportunities with great employers.\r\nWe support our talent every step of the way.\r\nWe make a difference in people’s lives.\r\n\r\nHow We Help You:\r\nOur recruiters aren’t just about filling jobs. They are about helping you achieve your goals. We put thousands of people to work every year in temporary, temporary-to-hire and direct hire placements.\r\n\r\nWe are always looking for great people. Apply today!