Outpatient Referral & Authorization Rep - Resident Clinic

Kingman Regional Medical Center • Kingman, AZ

285d

About The Position

We are currently seeking a dedicated Outpatient Referral/Authorization Representative to join our team and support our medical office with the accurate and timely processing of outpatient referrals and authorizations. Kingman Regional Medical Center is located in beautiful northwest Arizona. Experience the magic of Kingman's stunning Arizona sunsets and thrive in an outdoor enthusiast's dream destination with picturesque mountain ranges, nearby lakes, vibrant parks, and plenty of outdoor activity. Kingman is an incredible community to live, work, thrive, and play! Position Summary: This position is responsible for financially clearing all outpatient referrals as ordered by the referring provider. Financial clearing includes but not limited to, processing referral within provider EMR, verifying insurance eligibility and benefits, contacting patients to discuss coverage, obtaining authorization, when necessary, maintains statistical information regarding payers, communicating with providers and staff of denials, and documenting and scanning all communication into referral and EMR. Meets productivity standards. Provides guidance as needed to the department and provider office representatives when required. Establish and maintain inter-departmental communication within the hospital and work closely with the Medical Office.

Requirements

• High school diploma or equivalent required.
• Minimum of six months of progressive work experience.
• Strong communication, multitasking, and computer skills.

Nice To Haves

• One year of hospital outpatient referral and/or insurance verification experience.
• Knowledge of medical terminology and coding guidelines.

Responsibilities

• Financially clear all outpatient referrals as ordered by the referring provider.
• Process referrals within provider EMR.
• Verify insurance eligibility and benefits.
• Contact patients to discuss coverage.
• Obtain authorization when necessary.
• Maintain statistical information regarding payers.
• Communicate with providers and staff regarding denials.
• Document and scan all communication into referral and EMR.
• Meet productivity standards.
• Provide guidance to department and provider office representatives as needed.
• Establish and maintain inter-departmental communication within the hospital.

Benefits

• Medical, Dental, Vision, Employer Paid HSA for HDHP participants.
• Robust Wellness and Employee Assistance Program.
• Employer Paid Group Life, Short & Long-Term Disability.
• Generous Paid Leave Accruals and Cash Out Opportunities.
• 403b Retirement Plan with Employer Contributions.
• Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program.
• Employee Identity Theft Protection.
• On-site daycare exclusive to our employees' children of all ages.
• On-site Wellness Center with fitness classes, personal training, indoor pool, racquetball, and basketball courts.
• Tuition Reimbursement/Scholarships for full-time employees.
• Eligibility for the Public Service Loan Forgiveness program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED