Funding Specialist - Outpatient Services Funding - Per Diem

Valley Children’s Healthcare • Plaza, ND

6d • $25 - $34

About The Position

Job Summary: The role of Funding Specialist is responsible for securing funding for payers for all outpatient services including, ambulatory practices, day surgery, and imaging services. The position will receive patient referrals and authorizations from the payers and Primary Care Physicians including external /internal departments that need authorizations from the appropriate governmental agency or insurance company. This position is accountable for obtaining and processing of CCS, Government or Commercial insurance for the appropriate authorization of initial and/or follow up services. These referrals/authorizations must be processed as timely and accurately as possible with respect to the services that are to be rendered. This position will work closely with the Point of Care Departments and Patient Accounting in order to ensure timely communication and follow up regarding the authorization status of each patient(s). Qualifications: Education High School Diploma/G.E.D. (required) Work Experience Minimum one (1) year Related experience in obtaining medical insurance, government authorization or medical insurance/government billing (required) Skills and Abilities Strong communication skills, problem solving skills, analytical skills, interpersonal skills as well as time management and critical thinking skills. Preferred medical terminology, previous registration and/or billing experience in physician practice, clinic/hospital care setting and working knowledge of Excel software. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Compensation Range: $24.60 - $34.05 Workshift: Day (United States of America) Position Exempt: No FTE %: 0 Scheduled Weekly Hours: 0 Daily Hours: 8 Have Questions? Call Recruitment Services at 559-353-7071 or email us at [email protected] Disclaimer: Final compensation will be dependent upon skills and experience. Valley Children’s Healthcare – one of the largest pediatric healthcare networks in the nation – provides Central California’s only high-quality, comprehensive care exclusively for children, from before birth to young adulthood. With more than 670 physicians and 3,500 staff, Valley Children’s delivers high-quality, comprehensive care to more than 1.3 million children in our service area. Our network offers highly specialized medical and surgical services to care for children with conditions ranging from common to the highly complex at our 358-bed stand-alone children’s hospital that includes 28 regional NICU beds. Our family-centered, pediatric services extend from a leading pediatric cancer and blood disorders center home on the West Coast, and a pediatric heart center known for its expertise and pioneering treatments, to a Regional Level IV neonatal intensive care unit (NICU), the highest level referral center between Los Angeles and the Bay Area. We participate in community initiatives, we support community efforts, we get involved where we can do the most good.

Requirements

• High School Diploma/G.E.D. (required)
• Minimum one (1) year Related experience in obtaining medical insurance, government authorization or medical insurance/government billing (required)
• Strong communication skills, problem solving skills, analytical skills, interpersonal skills as well as time management and critical thinking skills

Nice To Haves

• medical terminology
• previous registration and/or billing experience in physician practice, clinic/hospital care setting
• working knowledge of Excel software

Responsibilities

• securing funding for payers for all outpatient services including, ambulatory practices, day surgery, and imaging services
• receiving patient referrals and authorizations from the payers and Primary Care Physicians including external /internal departments that need authorizations from the appropriate governmental agency or insurance company
• obtaining and processing of CCS, Government or Commercial insurance for the appropriate authorization of initial and/or follow up services
• processing referrals/authorizations as timely and accurately as possible with respect to the services that are to be rendered
• working closely with the Point of Care Departments and Patient Accounting in order to ensure timely communication and follow up regarding the authorization status of each patient(s)

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees