Patient Authorization and Referral Representative – Referral Operations

Providence

. Implement policies and procedures for aspects of the Referral Operations department in Providence Medical Group's primary care and specialty clinics .

Posted 11/12/2026full-timePortland • Oregon • United StatesJuniorMid-Level💰 $22 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in referral management, including prior authorization, appeals, and denials management within a healthcare setting. Proficient in utilizing Epic software and managing billing processes to ensure compliance and efficiency.

Highest-signal resume keywords

Referral ManagementPrior AuthorizationDenials ManagementEpic Software ExperienceRevenue Cycle Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Referral ProcessingDiagnostic AuthorizationPrior Authorization ActivitiesDenial ManagementAppeals ManagementDatabase ManagementSpreadsheet Proficiency

Soft Skills

Training SupportInterpersonal Communication

Tools & Technologies

Epic Software

Industry Keywords

Healthcare SystemPhysician OfficeRevenue CycleHealth InsuranceOutpatient AmbulatoryClinical Quality

About the role

Key responsibilities & impact

Implement policies and procedures for aspects of the Referral Operations department in Providence Medical Group's primary care and specialty clinics
Process specialist referrals
Handle diagnostic authorizations
Perform prior authorization activities
Manage denials and appeals
Support training activities

Requirements

What you’ll need

H.S. Diploma or GED, or a minimum of 2 years experience in a healthcare system
2 years experience in the health care industry or related field
Experience in physician office, revenue cycle, physician or hospital billing, health insurance, outpatient ambulatory, and clinical quality
2 years experience in a referral management functional area such as prior authorization, referrals, appeals, business office, or insurance health plans
Experience in professional billing revenue cycle management preferred
Bachelor's Degree preferred, or a minimum of 2 years experience in a healthcare system
Epic software experience preferred
Experience in database management and spreadsheets preferred

Benefits

Comp & perks

Retirement 401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Paid parental leave
Vacations
Holidays
Time off for health issues
Voluntary benefits
Well-being resources
Inclusive workplace where diversity is valued
Professional career support