Outpatient Referral & Authorization Rep - Part-Time/Days

We are seeking a dedicated individual to join our team and support our medical office with the accurate and timely processing of outpatient referrals and authorizations.

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. Coordinates resolution to issues that arise affecting patient orders. Establish and maintain inter-departmental communication within the hospital and work closely with the medical office.

Hours/Shift: Part-Time / Weekdays up to 29 hours per week

Benefits: We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:

• Paid Sick Time
• 403b Retirement Plan with Employer Contributions
• Scholarship Program for qualified individuals pursuing a first degree in healthcare related field
• On-Site Daycare, exclusive to our employees’ children of all ages
• Employee Discounts and Employee Referral Bonus Program
• As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
• And, so much more!

Qualifications:

• High school diploma or equivalent required
• Minimum of six months of progressive work experience
• Strong communication, ability to operator computer and software applications, and manage multiple priorities and tasks, and computer skills

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

Work Requirements: Primarily desk-based with frequent use of computer and phone; some bending, walking, and reaching required. Occasional exposure to biohazards and hostile individuals is possible.

About Us: Kingman Regional Medical Center (KRMC) is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. As a 235-bed multi-campus healthcare system, our medical center includes more than 1,900 employees, 270 physicians/allied health professionals, and 150 volunteers. KRMC is recognized as an innovator in rural healthcare and a teaching hospital. We provide a full continuum of highly technical and specialized medical services to meet the healthcare needs of our community. Year after year the Leapfrog Group has awarded KRMC an "A" Grade for Patient Safety. We strive to provide a culture of safety, integrity, teamwork, accountability, respect, and appreciation through recognition, career growth, and employee celebrations throughout the year for all of our staff. Kingman Regional Medical Center is a great place to work, come join our team! 

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