Supervisor, Health Plan Operations – Referrals
Providence
full-time
Posted on:
Location Type: Hybrid
Location: Renton • Washington • United States
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Salary
💰 $3,945 - $6,124 per hour
About the role
- Organizes and directs the daily activities and department workflow of the Referrals and Referral Support Staff under the supervision of the Director of USFHP Operations.
- Ensures accurate and timely data entry and processing of authorization and referrals of Pacific Medical Centers' revenues and expenses for Outside e (OPS).
- Assures compliance with DoD and other government agency guidelines and contract requirements.
- Sets Referral policy and monitors compliance to same.
- Monitors Medicare and TRICARE referral guidelines and educates staff in changes.
- Identifies and solves processing issues with outside providers.
- Serves as a member of the US Family Health Plan management team.
- Jointly manages the US Family Health Plan budget with the Director of USFHP Operations and the other members of the management team.
Requirements
- 4 years Health care referrals experience.
- 2 years Supervisory capacity, including Lead role; or six months supervisory experience within Pacific Medical Centers.
- Bachelor's Degree in Health Care Administration or Business Administration (preferred)
Benefits
- Comprehensive benefits package
- Health care benefits (medical, dental, vision)
- Life insurance
- Disability insurance
- Retirement 401(k) Savings Plan with employer matching
- Paid time off benefits (paid parental leave, vacations, holidays)
- Voluntary benefits
- Well-being resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data entryauthorization processingreferral processingbudget management
Soft Skills
leadershipproblem-solvingcommunicationorganizational skills
Certifications
Bachelor's Degree in Health Care AdministrationBachelor's Degree in Business Administration