• Ritzville
  • $17.01-$22.19 per hour USD / Year

Website East Adams Rural Healthcare

POSITION SUMMARY

Under the direction of the Rural health clinic manager, the Referral and authorization Specialist coordinates and completes incoming and outgoing referrals in the Rural Health Clinic.  Ensures services referred/ordered have all supporting documentation required by insurance payers and pass medical necessity guidelines.  Works with MA’s and Nursing staff of referring providers to obtain additional information when necessary.  Facilitates patient medical and financial clearance, obtains authorization of services when applicable.  Works directly with patients to ensure scheduling of referred services.

The ideal candidate will possess the following qualifications to be considered.

Education            High school diploma or General Equivalency Diploma (GED).
Preferred:            Associate/Bachelor’s degree in Healthcare/Medical Coding/Billing/Business or other related field of study.

Experience:        One-year healthcare experience or an equivalent combination of education and/or related experience.

Job Type:             Full Time/Non-Exempt

Required Skills, knowledge, and abilities:

  • Excellent verbal and written communication skills.
  • Ability to examine medical records and verify patient identification.
  • Knowledge of Common Procedural Codes (CPT), Healthcare Common Procedure Codes (HCPC), and medical billing claim forms preferred.
  • Knowledge of standard medical terminology, basic human anatomy and medical record format, contact and medical documentation order preferred.
  • Detail orientated and ability to be self-motivated to prioritize and make decisions to complete duties in a timely manner with limited supervision.
  • Ability to work under pressure of deadlines.
  • Excellent interpersonal communication and team skills in a complete organizational setting.
  • Excellent internal and external customer services skills with the ability to remain calm, be patient and respond professionally to all requests.
  • Proficient in the operation and use of computers and scanners including various software programs, word programs, and spreadsheets.
  • Ability to maintain patient and employee confidentiality.
  • Ability to perform repetitious movement, including long periods of standing or sitting, along with the ability to stoop, bend, reach, step up.
  • Ability to type at least 45 wpm.

$17.01-$22.19 per hour

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