Responsible for managing the referral/prior authorization process according to RRHS policies and procedures.  Facilitates clinic appointments and access to hospital ancillary departments with appropriate authorizations in place.  Acts as a liaison between primary care providers, patients, insurance companies, workers compensation adjusters, and other clinical staff to assure quality, timely care. In addition, identifies payer sources for uninsured and underinsured patients.

 

Minimum Education

 

 

High School diploma or equivalent. Associates Degree in related field preferred.

 

 

Minimum Work Experience

 

 

Experience in medical office or hospital setting processing patient medical information. Previous prior authorization experience preferred.

 

 

Required Skills, Knowledge, and Abilities

 

 

Excellent verbal and written communication skills. Medical Terminology preferred. Prior knowledge of 3rd party payer requirements and/or willingness and ability to learn. Excellent organizational skills, with the ability to prioritize. Ability to effectively work with customers from a variety of socio-economic backgrounds. Demonstrated Moderate Knowledge of Basic Computer Skills.

Pay Range: $15.80 - $23.46