Funding Specialist - Per Diem

Valley Children’s Healthcare • Madera, CA

2d • $25 - $37 • Onsite

About The Position

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).

Requirements

• High School Diploma/G.E.D.
• Minimum one (1) year related experience in obtaining medical insurance, government authorization, or medical insurance/government billing.
• Strong communication skills
• Problem-solving skills
• Analytical skills
• Interpersonal skills
• Time management skills
• Critical thinking skills

Nice To Haves

• Medical terminology
• Previous registration and/or billing experience in a 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 payers and Primary Care Physicians, including external/internal departments requiring authorizations from governmental agencies or insurance companies.
• Obtaining and processing CCS, Government, or Commercial insurance for appropriate authorization of initial and/or follow-up services.
• Processing referrals/authorizations timely and accurately with respect to services to be rendered.
• Working closely with Point of Care Departments and Patient Accounting to ensure timely communication and follow-up regarding patient authorization status.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED