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Insurance Authorization/Referral Specialist

Company: Yavapai Regional Medical Center
Location: Prescott Valley
Posted on: February 4, 2019

Job Description:

Job SummaryThe Insurance Authorization/Referral Specialist supports the vision of the Total Healing Environment and the values of respect, integrity, accountability, commitment and quality by obtaining authorizations and referrals to support the efficient and effective operation of Yavapai Regional Medical Center and the Physician Care practices and providing services for pre-registration, pre-service collections, medical necessity checking, and patient referrals to appropriate sources for follow up as needed. This position uses outstanding customer service skills to meet the client intake and information services of both our internal and external customers.Job QualificationsRequired Qualifications: High school graduate or GED Two years of medical office, authorization or hospital environment experience OR a combination of experience and education in a medical course of study from an accredited institution Demonstrated knowledge of medical terminology Basic computer literacy and proficiency in Microsoft Windows, including experience using multiple software/computer applications simultaneously Basic proficiency with MS Office (Outlook, Word, Excel, PowerPoint) Ability to effectively capture information and accurately enter the data into software applications Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service Knowledge of the principles and processes for providing effective customer service, including customer needs assessment, meeting quality standards for delivered services and evaluation of customer satisfaction-- Excellent organizational skills with the ability to multitask and handle multiple priorities/tasks simultaneously in a fast paced environmentPreferred Qualifications: Knowledge of ICD/CPT Knowledge and understanding of financial and medical insurance information; collections experience*Must pass pre-employment screeningCompany OverviewYavapai Regional Medical Center is a not-for-profit, integrated healthcare provider that offers a broad range of inpatient and outpatient services. Our healing network includes two full-service acute care hospitals, primary and specialty care clinics, the YRMC Wellness Center and the YRMC Del E. Webb Outpatient Center. YRMC's unmatched continuum of care covers a 5,500 square mile service area and includes cardiac surgery, neurosurgery, a comprehensive Women's Health Pavilion and Arizona's only Patient Blood Management Program. YRMC has earned numerous awards for quality and has earned national recognition as an exceptional provider of care. Our Mission To provide comprehensive, high quality healthcare consistent with our communities' needs. Our Vision Creating a "Total Healing Environment" wherein the people of YRMC work in partnership with the patients and their families seeking peace of mind and peace of heart as well as physical cures or comfort because we understand the indivisible relationship that exists between body, mind and the human spirit. Our Values Respect: Behaving in a way that honors self and others. Integrity: Being consistent and honest in word and deed. Accountability: Following through and being answerable for one's performance. Commitment: Demonstrating dedication to one's work, personal development, the organization, the Mission and the Vision. Quality: Providing service excellence.

Keywords: Yavapai Regional Medical Center, Prescott Valley , Insurance Authorization/Referral Specialist, Other , Prescott Valley, Arizona

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