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Job Information
Arizona Department of Economic Security Outpatient Referrals/Authorizations Representative (FT or On Call/Days) in Kingman, Arizona
This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/6642294
Position Purpose
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.\ 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\ Coordinators in the respect of issues that arise effecting orders. Other duties as assigned.
Benefits (Full Time Employees)We offer you an excellent total compensation package, including acompetitivesalary, comprehensivebenefits, andgrowthopportunities:
Exceptional Colleagues
- Join us and you\'ll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability.
- Our leaders demonstrate their commitment by gathering feedback, supporting, and empowering team members to do their best work through regular leadership rounding.
Health and Well-Being
- 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
- 403b Pension 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
- Employer Paid Employee Wellness Center Membership with fitness classes, personal training, indoor pool, racquetball, and basketball courts
Career Growth and Development
- Tuition Reimbursement/Scholarships for full-time employees
- As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
- So much more!
Key Responsibilities[List of material responsibilities and essentials duties which must be completed in achieving the objectives of the position]
Develops and maintains positive interactions with patients, visitors, medical staff, and employees, in accordance with KHI mission, vision, and values. 2. Protects patient information and hospital financial reimbursement by updating demographic information, verifying insurance information, and ensuring that all notification/authorizations are complete according to department policy and procedures. 3. Accurately pre-registers patients and consistently meets accuracy expectations of 98%. 4. Accurately validates orders per scheduling guidelines and verifies diagnosis codes are appropriate for ordered procedures. 5. Schedules procedures/visits in the appropriate area (department, imaging modality room, KHI location). 6. Utilizes designated tools and resources as directed (i.e. electronic medical record, AIDET, etc.). 7. Meets designated productivity standards to schedule cleared outpatient visits in a timely manner. 8. Works to increase upfront collections by communicating to the patient their co-pays/deductibles and documenting that information to secure collection. 9. Consistently demonstrates a willingness to assist co-workers in a courteous manner to support department efficiency. 10. Completes all assigned duties accurately and in a timely manner. 11. Ability to communicate effectively with others, to manage multiple priorities and tasks, to maintain attention to detail. 12. Knowledge of and ability to use computer hardware and software applications. 13. Knowledge of medical terminology, coding rules and guidelines preferred.
Qualifications[Statements regarding minimum educational and experience qualifications, required proficiencies with specialized knowledge, computer proficiencies, military service, required certifications, etc.]
- Education: High school graduate or equivalent
- Experience: Six months or more of progressive work experience
PreferencesExperience: One year of hospital outpatient scheduling and/or insurance verification experience in a hospital setting
Special Position Requirements[Optional section: any travel, security, risk, hazard, or related special conditions which apply to the position]
Bloodborne disease exposure category II: Expected dut