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Part-Time Authorization and Referral Specialist - Imaging Procedures and Referrals 

About the Organization We don't train our people to be nice… We simply hire nice people


​​​​​​​Do you want to make a difference in the lives of children?


We are looking for the brightest and the best to join our team!


Are you under challenged in your current position? Are you looking for a career in a high paced complex clinical environment?


Three major benefits offered by Cure 4 The Kids Foundation


40-hour work week, no nights or weekends


One of the most competitive compensation and comprehensive benefit packages in the field of healthcare


A state-of-the-art clinical and administrative environment located at 215 and Town Center, Summerlin on the Roseman University Campus


Cure 4 The Kids Foundation was voted #4 on the list of the 50 Best Non-Profits to Work For in the U.S.


Can you flourish in a center of excellence with a team that embodies the following Accountability Creed?


Please review the Accountability Creed on the Cure 4 The Kids Foundation Careers page www.cure4thekids.org


Important/Critical to the interview process to be considered for our team:



The Accountability Creed is a crucial part of our culture and interview process. We consider our initial interactions as a mutual interview. Are you right for us, and are we right for you? Be prepared to speak about how you feel about being part of a culture that embodies this creed. When asked to share your thoughts about the Accountability Creed in the interview, and you are unclear or do not recall reading the Accountability Creed, you will be asked to come back to the job posting and call us back to continue the interview process.  
Description

ESSENTIAL DUTIES AND RESPONSIBILITIES

a) Utilize clinical data/knowledge to assist patients in gaining appropriate physician, hospital, medical group and community referrals.
b) Utilize computer software to process referrals and maintain up-to-date referral databases.
c) Facilitate scheduling of appointments.
d) Obtain prior authorizations for imaging studies and other procedures ordered by practice providers utilizing payer authorization tools including forms, websites and telephone or fax lines.
e) Maintains current patient files updated with the most current coverage provided.
f) Monitors department voice mail, Qliq, email, Teams messages and processes prior authorization requests in accordance with departmental guidelines.
g) Maintains telephone service standards and returns patient messages within one (1) business day.
h) Act as a point of contact for assigned providers to answer and route questions about patient care.
i) Efficiently manage a high volume of imaging, procedure and referral requests.
j) Process patient referrals in a timely manner.
k) Perform routine administrative and clerical tasks to keep the offices of physicians and other health practitioners running smoothly including answering telephones, communicating with patients, and communicating with physicians.
l) Administrative duties may include but are not limited to the following:

  • Answer telephones; taking complete and accurate messages
  • Fill out insurance forms
  • Handle correspondence
  • Schedule appointments
  • Arrange for ancillary services
  • Collection of medical records
  • Review and collection of physician orders
  • Perform other administrative duties as directed
 
Position Requirements

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

KNOWLEDGE, SKILLS, AND ABILITIES:

  • Work very well under pressure
  • Manage multiple tasks simultaneously
  • Strong understanding of CPT and ICD-10 coding
  • Strong understanding of medical terminology
  • Experienced with insurance authorization process
  • Excellent communication skills
  • Knowledge of managed care and other insurance plan benefits and coverage
  • Relate quickly and confidentially to patients/parents.
  • Communicate well verbally, using appropriate grammar and professional conversation skills required.
  • Extremely flexible and open to process improvement and procedure changes.
  • Sit for extended periods of time.
  • Participate in educational activities and attends weekly department meetings and monthly staff meetings.
  • Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations

EDUCATION and/or EXPERIENCE:

  • High school education or GED.
  • CNA Preferred.
  • Bachelor’s Degree in health related field preferred.
  • Two (2) years of experience in tertiary patient care setting involving interaction with a variety of medical services, contact with patients and families, and interaction with physicians.

PHYSICAL REQUIREMENTS: Position requires sedentary work, occasionally lifting up to 10 pounds. Carrying small objects short distances. Ability to sit for 6-7 hours daily at computer terminal. Incumbent is sitting at a computer terminal 90-95 percent of the time. Ability to use keys on a computer terminal keyboard.

LANGUAGE SKILLS: Bilingual (English/Spanish) preferred, but not required.

 
Full-Time/Part-Time Part-Time  
Position Part-Time Authorization and Referral Specialist - Imaging Procedures and Referrals  
Exempt/Non-Exempt Non-Exempt  
Location Las Vegas  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://Cure4TheKids.appone.com




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