Patient Access/Outpatient Services

This position is located at Deer Lodge Medical Center in Deer Lodge Montana. As a Gold Re-Certified member of the Planetree Network, DLMC achieves excellence in person-centered care. Looking for a full-time referral and scheduling specialist to work in our Outpatient Services department. This position is responsible for patient prior authorizations, referrals and scheduling. Also, completes patient estimates for medical services when needed. If you have strong interpersonal skills and the ability to interact with patients, staff and patrons in a courteous, professional manner this is the position for you! Full benefits and competitive wage available. Come join our team of professionals!

Qualifications:

· 1 Year Front Desk experience, scheduling experience preferred.

· Experience as a health care referral specialist or similar role

· Knowledge of medical terminology.

· Insurance verification and Insurance authorization experience.

· Ability to multitask

· High school diploma or equivalent certification required.

· Accurate typing of at least 50 wpm.

· Strong interpersonal skills and ability to interact with patients, partners, staff, and colleagues in a courteous professional manner.

Duties and Responsibilities:

• Scheduling various medical procedures in the outpatient services department.
• Review and assess prior authorization requests for various medical services, procedures, and medications.
• Verify patient insurance benefits and eligibility through comprehensive intake processes.
• Communicate with healthcare providers, insurance companies, and patients to gather and confirm required information.
• Maintain accurate records of all prior authorization requests, documenting approvals and denials.
• Follow up on outstanding authorizations to ensure timely decisions and facilitate patient care.
• Stay up-to-date with changes in insurance policies, regulatory requirements, and procedural guidelines specific to healthcare.
• Assist in training and mentoring new staff members regarding the prior authorization process and best practices.

Prior Authorization Specialist Skills

• Attention to detail: Exceptional ability to scrutinize documentation and ensure accuracy in records.
• Communication skills: Strong verbal and written communication for effective collaboration with healthcare professionals and insurance representatives.
• Analytical skills: Proficient in evaluating medical necessities and substantiating requests based on clinical criteria.
• Organizational skills: Ability to manage multiple requests simultaneously while adhering to strict deadlines.
• Problem-solving skills: Skilled at navigating complex issues to secure necessary authorizations.
• Technical proficiency: Familiar with electronic health records (EHR) and medical billing software, enhancing efficiency in processing requests.

Other Duties and Responsibilities:

1. Assist Business Office staff as needed, and as directed by the Patient Access Manager

2. Coordination with hospital staff on schedule building and prior authorization completion.

3. Assist Centralized Scheduling as needed.

4. Any other assigned duties.

DLMC is an eligible facility for Public Service Loan Forgiveness(PSLF)

Job Type: Full-time

Pay: $16.50 - $18.50 per hour

Benefits:

• 401(k)
• 401(k) matching
• 403(b)
• 403(b) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Free parking
• Health insurance
• Life insurance
• Loan forgiveness
• Paid sick time
• Paid time off
• Retirement plan
• Vision insurance

Medical Specialty:

• Cardiology
• Oncology

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• No weekends

Work Location: In person

Salary : $17 - $19