Role Description The Referral Coordinator is responsible for the intake, triage, validation, and accurate processing of externally referred patient care requests received for OHSU ambulatory clinics and diagnostic services. This role is often the first step in the care process for patients beginning care at OHSU, serving as a critical point of entry into the health system and supporting timely, accurate, and appropriate access to care and services. - Review referral documentation submitted by external providers, including medical diagnoses, procedures, imaging or diagnostic testing requests, urgency indicators, and supporting clinical records. - Determine referral completeness, urgency, and appropriate routing within OHSU’s electronic medical record (Epic). - Interpret medical terminology and ICD10 diagnosis codes, apply intake rules, and ensure precise documentation. - Function as a member of the Ambulatory Access Services department, supporting centralized access, outpatient clinics, and diagnostic services. Qualifications - Bachelor’s degree plus 2 years’ experience working in an ambulatory clinic, OR - Associate’s degree plus 4 years’ experience working in an ambulatory clinic, OR - High School diploma plus 6 years’ experience working in an ambulatory clinic. - Knowledge of multiple Ambulatory workflows. Requirements - Completion of a medical terminology course. - Experience working in a centralized access center or medical referral management role. - Experience supporting patient scheduling workflows. - Previous referral management experience. - Experience in various ambulatory clinics or knowledge thereof. - Epic electronic medical record experience in an ambulatory or access-focused workflow. - Proven experience performing detailed, high-volume work requiring accuracy and independent judgment. - Demonstrated experience reviewing, interpreting, and processing medical documents. - Experience managing or processing referrals across multiple clinics or services. - Demonstrated interpersonal, communication, and problem-solving skills. - Working knowledge of medical terminology, diagnoses, procedures, and diagnostic testing. - Ability to interpret ICD10 diagnosis codes and clinical referral documentation. - Proficiency in Epic referral workflows, including referral creation, appointment requests, diagnosis entry, documentation, and attachment management. - Understanding of ambulatory specialty clinic structures and diagnostic referral workflows. - Knowledge of patient identification standards, confidentiality requirements, and HIPAA regulations. - Ability to manage competing priorities in a high-volume environment while maintaining accuracy and compliance. - Excellent verbal and written communication skills. - Commitment to patient-centered access, service excellence, and equitable care delivery. Benefits - Monday-Friday business hours, shift to be determined. - This is a work from home position. - Prolonged computer use and electronic data entry. - No regular exposure to hazardous materials. Additional Details - This position requires prolonged sitting and sustained computer use throughout the workday. - Extensive keyboard and mouse use requiring fine motor skills. - Sustained visual focus on computer screens and electronic documents for the majority of the workday. - Ability to maintain concentration and attention to detail throughout the workday. Company Description We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions, and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu.

• Processing and entering referrals into Axxess EMR • Scheduling clinicians appropriately based on discipline, availability, and payer requirements • Obtaining and verifying home health insurance authorizations • Reviewing and processing physician orders • Faxing and following up on orders with physicians • Uploading and maintaining documentation and orders in Axxess • Managing intake workflow from referral through admission and scheduling • Understanding Medicare home health guidelines, including OASIS requirements and compliance expectations • Working efficiently in a fast-paced, high-volume environment with minimal supervision

• Manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team • Use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met

Role Description We are seeking an experienced Bilingual Referral Coordinator to join our healthcare team. The ideal candidate has a strong background in referral coordination, insurance authorization processes, and patient care coordination. This role requires excellent organizational and communication skills to ensure patients are seamlessly referred to specialists, surgery centers, and hospitals while maintaining compliance with payer requirements. Philippines-based bilingual candidates are preferred; however, qualified bilingual candidates from other locations will also be considered. The ideal candidate is detail-oriented, proactive, and able to manage multiple referrals simultaneously while providing excellent service to patients and healthcare partners. They should be comfortable working in a fast-paced environment, coordinating with multiple stakeholders, and ensuring referrals and authorizations are completed accurately and efficiently. Qualifications - Fluent in English and Spanish (spoken and written). - Previous experience as a Referral Coordinator in a medical practice. - Hands-on experience submitting prior authorizations for procedures. - Experience coordinating referrals with specialists, surgery centers, and hospitals. - Experience processing outpatient referrals. - Working knowledge of Medicare (required). - Working knowledge of Medical/Medicaid (required, as applicable). - Working knowledge of HMO, PPO, and other commercial insurance plans. - Working knowledge of California insurance guidelines and referral processes (required). - Required experience using Athenahealth EMR. - Strong understanding of insurance verification, referrals, and authorization workflows. - Excellent communication, organization, and time management skills. - Ability to manage a high-volume workload while maintaining attention to detail. Preferred Qualifications - Philippines-based bilingual candidates preferred. - Experience working in multi-specialty or outpatient medical practices. - Strong customer service and patient communication skills. Requirements Please note that this is a full-time contractor position (40 hours per week) with a negotiable pay rate depending on skillset and experience. The schedule is Monday through Friday, from 8 AM to 5 PM PST.