Rh Ssmc Referral Specialist

1 week ago

Ridgecrest, United States Ridgecrest Regional Hospital Full time

**OUR TOP WORK PERKS**
- Flexible scheduling - because work/life balance matters to us
- Tuition reimbursement and learning opportunities - we give you the opportunity to continuously grow
- Fantastic total rewards program, including: medical, dental, vision and 403B
- Gym Membership Reimbursement, Free Chair Massages
- Vacation Paid time off - we value your life outside of work
- and so much more

**A BIT ABOUT US**

We are Ridgecrest Regional Hospital, and our goal is to be the partner of choice for the healthcare needs of our community. We take a person-centric focus to healthcare, and this means that every individual who steps through our doors - be they a patient, family member, or staff - is at the center of everything we do.

Our town of Ridgecrest is a family-friendly community of 30,000 in the desert of central Southern California, far from the traffic and commotion of LA. It’s near the Sierra Mountains and full of natural wonders, outdoor activities, and sunshine. It offers plenty of beautiful outdoor scenery and activities, as well as shorter commutes, great schools, and a more easygoing lifestyle This critical access hospital is close to Mount Whitney, Sequoia National Forest and Death Valley. It is the perfect close-knit community if you are an outdoor adventurist looking for slightly slower-paced living while also continuing to grow in your healthcare career.

**What's it like to work at RRH?**: Nurses | Kern County Hospitals**

**JOB SUMMARY**:
Responsible for receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support for the clinical areas and patients for referrals and prior authorizations.

**Essential Functions**:
1. Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre-authorization for patients and re-authorization of additional treatment. Ensures insurance carrier documentation requirements are met, and referral support documentation is filed in patient’s medical record.

2. Efficiently manages correspondence with patients, physicians, specialists, and insurance companies. Documents pertinent information on the referral form and/or in medical records.

3. Works in collaboration with Patient Financial Services to improve the Revenue Cycle process. Continually improve the work process to enhance service and customer relations.

4. Works to improve referral processes, communication, and patient care as it relates to. Keeps up with continual changes in health insurance with regard to referrals and communicates those changes as appropriate.

5. Ability to read, understand, write, and communicate effectively in the English language

6. Performs other duties as assigned.

7. Computer experience (Microsoft Word, Excel) with the ability to type 25 WPM without errors

8. Must be able to put into practice Service Excellence skills with patients, families and co-workers.

**Qualifications**:
1. High school graduate or equivalent required

2. Two years in a college related field or accredited business school preferred.

3. Medical Assistant, LVN, or RN highly desired.

Location: Ridgecrest Regional Hospital - RH SSMC Primary Care Clinic

Schedule: Full Time, Day

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