Referral Authorization Specialist - Full-Time

Barrett Hospital•Dillon, MT

11d

About The Position

Position Summary: The Referral/Authorization Specialist is primarily responsible for monitoring incoming referrals, gathering information, and working as an intermediary with patients/guarantors, providers, other internal departments, and the health plan representatives to effectively facilitate the clinical review of services in a timely and accurate manor. This position is responsible for supporting the registration role by assisting with timely and accurate patient registration processes. Interviewing patients for all pertinent account information, verifying insurance coverage, identifying need for pre-authorizations and financial counseling, and collecting co-pay, deductible, and self-pay payments as necessary. Ensuring the collection of appropriate signatures for treatment, medical records, and insurance processing. Minimum Qualifications: High School Diploma or general education degree (GED); One year of related experience and/or training; or equivalent combination of education and experience preferred. Facility Information: Barrett Hospital & HealthCare provides the people of southwestern Montana with quality healthcare services. Recognized as a leader in rural health facilities, we have been named as a Top 100 Critical Access Hospital for 14 years and a Top 20 CAH 7 times from among over 1300 critical access hospitals across the nation. We continually strive for clinical excellence, with patient safety our top priority. Barrett Hospital & Healthcare is an 18-bed facility with an impressive array of technology, ancillary services and a thriving physician clinic with regional respect for quality expertise. About our Community: Located in Dillon, Montana, our community is renowned for scenic outdoor experiences including cross-country, downhill and backcountry skiing, blue ribbon fly-fishing, world-class hunting, and extensive hiking and biking opportunities. Nestled in the northern Rocky Mountains, the City of Dillon is home to an excellent school system and is home to the University of Montana Western campus. We invite you to join our team and enjoy an adventurous Montana lifestyle!

Requirements

High School Diploma or general education degree (GED)
One year of related experience and/or training; or equivalent combination of education and experience preferred
40 hours/week (1.0) FTE
This shift will be VARIABLE and will be expected to cover registration/ED registration on a scheduled and as needed basis.

Responsibilities

monitoring incoming referrals
gathering information
working as an intermediary with patients/guarantors, providers, other internal departments, and the health plan representatives to effectively facilitate the clinical review of services in a timely and accurate manor
supporting the registration role by assisting with timely and accurate patient registration processes
Interviewing patients for all pertinent account information
verifying insurance coverage
identifying need for pre-authorizations and financial counseling
collecting co-pay, deductible, and self-pay payments as necessary
Ensuring the collection of appropriate signatures for treatment, medical records, and insurance processing