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Referred Care Specialist

Egoh Fa Us2 Oraclecloud Com CX 1001 · Durant, OK, United States; Employee Health, Durant, OK, US · Deleted · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyEgoh Fa Us2 Oraclecloud Com CX 1001
TitleReferred Care Specialist
Normalized title-
Department / teamHealth Care Services
LocationDurant, OK, United States
Work model-
Employment typeFull Time
Salary-
Statusdeleted
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-28 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-04

Related slices

PageWhat it containsOpen
Company jobsActive postings from Egoh Fa Us2 Oraclecloud Com CX 1001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Durant.Open
Department jobsActive postings in Health Care Services.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyEgoh Fa Us2 Oraclecloud Com CX 1001
Source32dbcffb-e4f5-4510-b638-7a163281479b
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description Job Purpose or Objective(s): The Referred Care Specialist coordinates patient referrals for external healthcare services and ensures all aspects of the Choctaw Referred Care (CRC) process are completed in alignment with organizational guidelines and federal requirements. You will support patients through scheduling, claims processing, eligibility review, denial communication, and appeals, while maintaining communication with providers and internal stakeholders. You will report to the Manager. PG07 | Full Time | Location: Durant Clinic | Schedule: Monday through Friday 8:00am to 4:30pm | Weekly Earned Wage Access is an Option for this Position | Primary Tasks: Process and coordinate referrals for external healthcare services by following CRC program guidelines and ensuring pre-authorization requirements are met. Verify patient eligibility for CRC services based on descent, residency, and alternate resource requirements. Communicate with outside providers and vendors to schedule services, obtain necessary documentation, and address claim status or authorization questions. Support patients and families by providing guidance on the referral, denial, and appeals processes, including identifying alternate resources and explaining CRC determinations. Review and enter referral and claim information into appropriate databases or systems to maintain accurate records. Monitor and update CRC work queues (referrals, claims, denials, appeals) to ensure timely resolution and follow-up. Assist with the preparation and distribution of denial letters, appeal acknowledgments, and supporting documentation for internal or external use. Collaborate with internal departments to ensure alignment in patient care coordination and documentation compliance. Participate in outreach or education efforts related to the CRC program, including health fairs, patient inquiries, or training sessions as assigned. Performs other responsibilities as may be assigned. Required Education, Skills and Experience: Knowledge of HIPAA and Joint Commission Two [2] years of related experience Associate degree Knowledge of medical terminology Knowledge of HIPAA and Joint Commission Two [2] years of experience Responsibilities Process and coordinate referrals for external healthcare services by following CRC program guidelines and ensuring pre-authorization requirements are met. Verify patient eligibility for CRC services based on descent, residency, and alternate resource requirements. Communicate with outside providers and vendors to schedule services, obtain necessary documentation, and address claim status or authorization questions. Support patients and families by providing guidance on the referral, denial, and appeals processes, including identifying alternate resources and explaining CRC determinations. Review and enter referral and claim information into appropriate databases or systems to maintain accurate records. Monitor and update CRC work queues (referrals, claims, denials, appeals) to ensure timely resolution and follow-up. Assist with the preparation and distribution of denial letters, appeal acknowledgments, and supporting documentation for internal or external use. Collaborate with internal departments to ensure alignment in patient care coordination and documentation compliance. Participate in outreach or education efforts related to the CRC program, including health fairs, patient inquiries, or training sessions as assigned. Performs other responsibilities as may be assigned. Qualifications Knowledge of HIPAA and Joint Commission Two [2] years of related experience

Full job record

Job IDde5782471a8f9425c59a145b55fab57950859826
Org ID5494ddde-1625-45e6-859d-9502863b97fc
Source ID32dbcffb-e4f5-4510-b638-7a163281479b
Board ID32dbcffb-e4f5-4510-b638-7a163281479b
Provideroracle_hcm
Provider Job Key28330
TitleReferred Care Specialist
Normalized Title—
Statusdeleted
Activeno
Location TextDurant, OK, United States; Employee Health, Durant, OK, US
DepartmentHealth Care Services
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionOK
CityDurant
Salary RawDescription Job Purpose or Objective(s): The Referred Care Specialist coordinates patient referrals for external healthcare services and ensures all aspects of the Choctaw Referred Care (CRC) process are completed in alignment with organizational guidelines and federal requirements. You will support patients through scheduling, claims processing, eligibility review, denial communication, and appeals, while maintaining communication with providers and internal stakeholders. You will report to the Manager. PG07 | Full Time | Location: Durant Clinic | Schedule: Monday through Friday 8:00am to 4:30pm | Weekly Earned Wage Access is an Option for this Position | Primary Tasks: Process and coordinate referrals for external healthcare services by following CRC program guidelines and ensuring pre-authorization requirements are met. Verify patient eligibility for CRC services based on descent, residency, and alternate resource requirements. Communicate with outside providers and vendors to schedule services, obtain necessary documentation, and address claim status or authorization questions. Support patients and families by providing guidance on the referral, denial, and appeals processes, including identifying alternate resources and explaining CRC determinations. Review and enter referral and claim information into appropriate databases or systems to maintain accurate records. Monitor and update CRC work queues (referrals, claims, denials, appeals) to ensure timely resolution and follow-up. Assist with the preparation and distribution of denial letters, appeal acknowledgments, and supporting documentation for internal or external use. Collaborate with internal departments to ensure alignment in patient care coordination and documentation compliance. Participate in outreach or education efforts related to the CRC program, including health fairs, patient inquiries, or training sessions as assigned. Performs other responsibilities as may be assigned. Required Education, Skills and Experience: Knowledge of HIPAA and Joint Commission Two [2] years of related experience Associate degree Knowledge of medical terminology Knowledge of HIPAA and Joint Commission Two [2] years of experience Responsibilities Process and coordinate referrals for external healthcare services by following CRC program guidelines and ensuring pre-authorization requirements are met. Verify patient eligibility for CRC services based on descent, residency, and alternate resource requirements. Communicate with outside providers and vendors to schedule services, obtain necessary documentation, and address claim status or authorization questions. Support patients and families by providing guidance on the referral, denial, and appeals processes, including identifying alternate resources and explaining CRC determinations. Review and enter referral and claim information into appropriate databases or systems to maintain accurate records. Monitor and update CRC work queues (referrals, claims, denials, appeals) to ensure timely resolution and follow-up. Assist with the preparation and distribution of denial letters, appeal acknowledgments, and supporting documentation for internal or external use. Collaborate with internal departments to ensure alignment in patient care coordination and documentation compliance. Participate in outreach or education efforts related to the CRC program, including health fairs, patient inquiries, or training sessions as assigned. Performs other responsibilities as may be assigned. Qualifications Knowledge of HIPAA and Joint Commission Two [2] years of related experience
Salary Min—
Salary Max—
Salary Currency—
Salary Periodweek
Source URLhttps://egoh.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1001/job/28330
Apply URLhttps://egoh.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1001/job/28330
First Seen At2026-05-31 17:59:29Z
Last Seen At2026-06-04 10:22:27Z
Last Checked At2026-06-06 19:48:53Z
Last Changed At2026-06-06 19:48:53Z
Inactive At2026-06-06 19:48:53Z
Source Posted At2026-05-28 21:57:12Z
Source Updated At—
Raw Payload Uris3://bluework-jobs-prod-raw-590183727216/raw/provider=oracle_hcm/board=egoh.fa.us2.oraclecloud.com|CX_1001/date=2026-06-04/2026-06-04T10-22-11-693Z-e1a4dcde026b25c424ea37a6e2e82c535c1b3f6dba0cee1a6489f4b794100c30.json
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Parsed Structured
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Extensions
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