Scheduling & Authorization Specialist Jobs

OUR TOP WORK PERKS

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

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.

Learn about a nursing career at RRH: www.rrh.org/nurses

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

JOB SUMMARY:

Provides customer service and support for the clinical/ancillary areas and patients for referrals and prior authorizations.
Responsible for receiving, processing and documenting referral or prior authorization requests from the clinical areas. Also, responsible for regularly scheduling ancillary and other departments as needed and assuring authorizations are received prior to exam/appointment date or rescheduling accordingly. Function as part of a team based, patient-centered care serving all patients and departments within organization as needed. Provide excellent customer service to all internal and external customers, which includes team members, patients, volunteers, students, visitors, and vendors, by consistently exceeding the customer’s expectations. Comply with organizational policies, procedures, standards of care and related laws and regulations including HIPAA and OSHA regulations. Protect the dignity, privacy and confidentiality of patients and their families, as well as co-workers and others. Support mission and goals of RRH, organizational quality and patient-centered care. Incorporate core organizational values of quality, respect, integrity, partnership and compassion in all activities and decisions.

Essential Functions:

1. Ability to use resource scheduling to schedule ancillary exams assuring patients are informed of all necessary info to assure patient throughput is smooth and efficient. Additionally, 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 where appropriate.

3. Works in collaboration with ancillary departments and Patient Financial Services to improve the Revenue Cycle process assuring all authorizations are obtained prior to exam/appointment date or rescheduling takes place prior to appointment. Continually improve work process to enhance service and customer relations.

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

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

6. Works with other staff member to learn and perform "other" duties including but not limited to surgical authorizations and ancillary dept scheduling.

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

8. Has understanding and knowledge of HIS and scheduling software and able to navigate such systems.

9. Continually demonstrates abilities to perform all functions of dept including but not limited to obtaining authorizations and scheduling

10. Adequately communicates w/ manager/director, assuring all necessary information is passed on in an accurate and timely manner.

Perform other duties as assigned and necessary.