Jobs · Healthcare · Oregon

Referral and Authorization Specialist, Eugene OR

Praxis Health · Eugene, OR · 1 mo ago
On-siteHealthcareFull-time
We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where there is real specific content. Must not repeat job title. Must not include Job ID etc. Must preserve all substantive info, no invented details. Remove boilerplate: cookie/navigation/legal/EEO etc. Also remove application instructions, duplicated lines. We need to parse the posting. Let's extract content: First paragraph: "Oak Street Medical Primary Care, part of Praxis Health, is currently looking to add another Referral and Authorization Specialist to our team who can help support our growing needs. We hope to find the perfect fit for our team soon! If you are a fast learner, hard worker and overachiever, this position might be for you. Our current team and leadership are willing to provide any needed training and support to make the person we hire successful, but a background in the insurance industry would give any candidate a step up!" That's about the role. Then: "Schedule: Monday - Friday, 8:00am - 5:00pm" Then: "Benefit Highlight Medical, Dental, Vision with In-Network & Custom Network discounts401(K) with discretionary employer matchPaid Time OffFree clinical diagnostic laboratory testing performed in-house" That's benefits. Then: "This position is customer service and patient care intensive. The ideal applicant is someone who is comfortable and willing to explain coding and billing over the phone with not only patients- but insurers, medical staff and providers." Then: "Duties of this position will include obtaining prior authorizations for services that are not customary plan benefits, calling on referrals, scheduling and interacting with patients, Primary Care Physicians and/or Referring Physicians, data entry, patient file and records maintenance, etc." Then: "Essential Job Functions Obtains prior authorizations and referrals.Inputs correct data into Intergy.Performs clerical duties related to clinical service.Prepares and processes correspondence.Answers telephone, takes messages, and provides information.Requests, locates, sends and receives patient records.Monitors internal communications including but not limited to task, emails, and voice mails.Maintains files and assists establishing office systems.Assists in the care and maintenance of office equipment.Fulfills clerical responsibilities as assigned that may include sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.; scheduling appointments; verifying insurance coverage; managing and updating EMR charts to ensure that information is complete and filed appropriately.Fulfills the organizations responsibilities as assigned including; respecting and promoting patient’s rights; sharing problems with immediate supervisor.Other duties as assigned.Reliable attendance and presence at work." Then: "Minimum Qualifications Education and/or Experience High School diploma or general equivalency diploma (GED).Background in insurance authorization and scheduling.Extensive customer service experience. Minimum two years of experience in a medical office setting." Then: "Preferred But Not Required Experience 1–3 years working in a healthcare office or clinic settingExperience processing medical referrals and prior authorizationsFamiliarity with insurance plans (HMO, PPO, Medicare, Medicaid)Comfortable using Electronic Medical Records (EMR) systemsAble to read and understand basic medical notes and referralsExperience talking with patients about referrals and authorizationsOrganized and able to track referral status and follow up as needed" Then: "About Our Company Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. Our community-based clinics are the DNA of our business, providing better medicine, advocacy for our patients, and a satisfying and collaborative culture for our providers and staff. The Praxis family approach is dynamically different from other healthcare companies in Oregon. We are not “big box” health care, but rather a company of small groups and clinics, of nimble micro-cultures that can quickly adapt to industry changes, as well as patient needs. We have been serving communities across the beautiful and adventurous state of Oregon for over 50 years! And we are pioneers and thought leaders in the industry. Our commitment to innovative and operational excellence has allowed us to create healthcare solutions that are both cost-efficient and cutting edge. Come see how healthcare is done right! We are excited to share with you a short video that shows why the Praxis Health family is so special. Please click here: https://youtu.be/MrNWtn42prY" Then: "General Physical Requirements Manual dexterity for office machine operation including computer and calculator; stooping, bending to handle files and supplies, mobility to complete errands for deliveries, or sitting for extended periods of time.The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds.Stress can be triggered by multiple staff demands and deadlines.Work is performed in an office environment. Involves frequent contact with staff and patients." We need to decide sections: About the role (intro), Responsibilities (duties), Requirements (minimum qualifications), Qualifications (preferred?), Skills (maybe from preferred), Benefits, Pay (none given), Schedule (given). Pay not given, so omit Pay section. Benefits given. Schedule given. We must not create sections with placeholder like "commensurate with experience". Not needed. We need to preserve all substantive info. So we need to include all details from the posting, but we can group them. We must not repeat job title. Not needed. We need to output only HTML fragment, no /, no markdown fences. We need to use

for section headings. Use
  • for any list of duties/requirements/benefits, and

    for prose. We need to decide what constitutes a list. For duties, we have many items separated by commas and semicolons. Could turn into

    • . Similarly for requirements. We need to be careful not to lose info. Let's extract each piece. **About the role**: The intro paragraphs: "Oak Street Medical Primary Care, part of Praxis Health, is currently looking to add another Referral and Authorization Specialist to our team who can help support our growing needs. We hope to find the perfect fit for our team soon! If you are a fast learner, hard worker and overachiever, this position might be for you. Our current team and leadership are willing to provide any needed training and support to make the person we hire successful, but a background in the insurance industry would give any candidate a step up!" Also maybe include the line about customer service and patient care intensive? That could be part of responsibilities or about role. But we have a separate responsibilities section. We'll put that intro in

      . **Responsibilities**: Duties list: "obtaining prior authorizations for services that are not customary plan benefits, calling on referrals, scheduling and interacting with patients, Primary Care Physicians and/or Referring Physicians, data entry, patient file and records maintenance, etc." plus the Essential Job Functions list. We need to combine all duties into a list. Let's list each duty item from Essential Job Functions: - Obtains prior authorizations and referrals. - Inputs correct data into Intergy. - Performs clerical duties related to clinical service. - Prepares and processes correspondence. - Answers telephone, takes messages, and provides information. - Requests, locates, sends and receives patient records. - Monitors internal communications including but not limited to task, emails, and voice mails. - Maintains files and assists establishing office systems. - Assists in the care and maintenance of office equipment. - Fulfills clerical responsibilities as assigned that may include sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.; scheduling appointments; verifying insurance coverage; managing and updating EMR charts to ensure that information is complete and filed appropriately. - Fulfills the organizations responsibilities as assigned including; respecting and promoting patient’s rights; sharing problems with immediate supervisor. - Other duties as assigned. - Reliable attendance and presence at work. Also earlier: "obtaining prior authorizations for services that are not customary plan benefits, calling on referrals, scheduling and interacting with patients, Primary Care Physicians and/or Referring Physicians, data entry, patient file and records maintenance, etc." We can incorporate those as list items as well, but they may overlap with above. To avoid duplication, we could combine but must preserve all info. Duplication is okay? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." Duplication is not inventing, but it's repeating. Might be okay but better to avoid duplicate content? Not explicitly forbidden. However "duplicated lines" should be removed. So we should remove duplicated lines. So we need to deduplicate. Let's see overlapping: "obtaining prior authorizations" appears both in earlier sentence and in Essential Job Functions first item. So we should keep one. "calling on referrals" appears earlier; also maybe in Essential Job Functions? Not explicitly but "Obtains prior authorizations and referrals" includes referrals. Might be similar but not exact duplicate. We'll keep both? Might be considered duplicated? Safer to keep unique. "scheduling and interacting with patients, Primary Care Physicians and/or Referring Physicians" appears earlier; also in Essential Job Functions under "Fulfills clerical responsibilities as assigned that may include ... scheduling appointments". So overlapping but not exact. We'll keep both? Might be considered duplicate concept but not exact line. The instruction says remove duplicated lines, not concepts. So we can keep both if not identical. "data entry" appears earlier; also maybe in Essential Job Functions under "Inputs correct data into Intergy." That's similar but not identical. Keep both. "patient file and records maintenance" earlier; also in Essential Job Functions "Maintains files and assists establishing office systems." Slightly different. We'll keep both to be safe. Now list all unique items. Let's compile a list: 1. Obtaining prior authorizations for services that are not customary plan benefits 2. Calling on referrals 3. Scheduling and interacting with patients, Primary Care Physicians and/or Referring Physicians 4. Data entry 5. Patient file and records maintenance 6. Obtains prior authorizations and referrals (maybe redundant with 1&2 but keep? Might be duplicate concept. To avoid duplication, we could omit this as it's covered by 1 and 2. Since we need to preserve all substantive info, but if we omit we lose the exact phrase "Obtains prior authorizations and referrals". However the info is covered by 1 and 2. The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." If we combine, we are not losing info, just rephrasing? Might be considered summarizing? Safer to keep it as separate item, but then it's duplicate of 1 and 2. Might be considered duplicated line? Not identical. I'd keep it. 7. Inputs correct data into Intergy 8. Performs clerical duties related to clinical service 9. Prepares and processes correspondence 10. Answers telephone, takes messages, and provides information 11. Requests, locates, sends and receives patient records 12. Monitors internal communications including but not limited to task, emails, and voice mails 13. Maintains files and assists establishing office systems 14. Assists in the care and maintenance of office equipment 15. Fulfills clerical responsibilities as assigned that may include sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.; scheduling appointments; verifying insurance coverage; managing and updating EMR charts to ensure that information is complete and filed appropriately 16. Fulfills the organizations responsibilities as assigned including; respecting and promoting patient’s rights; sharing problems with immediate supervisor 17. Other duties as assigned 18. Reliable attendance and presence at work Also maybe include "Explaining coding and billing over the phone with patients, insurers, medical staff and providers" from earlier: "The ideal applicant is someone who is comfortable and willing to explain coding and billing over the phone with not only patients- but

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