Outpatient Referral & Authorization Representative-6500

Kingman Regional Medical Center; Kingman (AZ); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health benefits

PTO & Leave

403b retirement

Employee discounts

On-site daycare

Wellness center

Job summary

Kingman Regional Medical Center in Kingman, AZ, is seeking a dedicated individual to support our medical office with accurate and timely processing of outpatient referrals and authorizations. This full-time role will financially clear referrals, verify insurance, contact patients, and obtain necessary authorizations while maintaining payer statistics and documenting communications in the EMR.

The position is expected to work Monday–Friday days, collaborating with the Medical Office and hospital

Qualifications

• High school diploma or equivalent required or 2–5 years of healthcare experience in lieu of education requirements.
• Strong communication, ability to operate computer and software applications, and attention to detail managing multiple priorities and tasks.

Responsibilities

• Process outpatient referrals and authorizations for reimbursement clearance.
• Verify insurance eligibility and benefits.
• Contact patients to discuss coverage and obtain authorization when necessary.
• Maintain statistical information regarding payers and denials.
• Communicate with providers and staff about denials and issues.
• Document and scan all communication into referral and EMR.
• Establish and maintain inter-departmental communication within the hospital.

Skills

Communication

Computer skills

Attention to detail

Education

High school diploma or equivalent

Tools

EMR

Job description

We are seeking a dedicated individual to join our team and support our medical office with the accurate and timely processing of outpatient referrals and authorizations.

Position Summary

This position is responsible for financially clearing all outpatient referrals as ordered by the referring provider. Financial clearing includes but not limited to, processing referral within provider EMR, verifying insurance eligibility and benefits, contacting patients to discuss coverage, obtaining authorization, when necessary, maintains statistical information regarding payers, communicating with providers and staff of denials, and documenting and scanning all communication into referral and EMR. Provides guidance as needed to the department and provider office representatives when required. Establish and maintain inter-departmental communication within the hospital and work closely with the Medical Office. Coordinators in the respect of issues that arise effecting orders. Other duties as assigned.

Hours/Shift

Full-time/Days Monday-Friday

Benefits

We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities.

• Health and Well-Being
  • Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
  • Generous Paid Leave Accruals and PTO Cash Out Opportunities
  • 403b Retirement Plan with Employer Contributions
  • Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
  • Employee Identity Theft Protection
  • On-site daycare exclusive to our employees’ children of all ages
  • On-site Wellness Center with fitness classes, personal training, indoor pool, racquetball, and basketball courts
• Career Growth and Development
  • Tuition Reimbursement/Scholarships for full-time employees
  • As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
• So much more!

Qualifications

• High school diploma or equivalent or 2-5 yrs healthcare experience in lieu of education requirements
• Minimum of six months of progressive work experience
• Strong communication, ability to operate computer and software applications, and attention to detail managing multiple priorities and tasks.

Work Requirements

Primarily desk-based with frequent use of computer and phone; some bending, walking, and reaching required. Sits for 90% of the day. Occasional, but not routine, exposure to biohazards and hostile individuals is possible.

About Us

Kingman Regional Medical Center (KRMC) is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. As a 235-bed multi-campus healthcare system, our medical center includes more than 1,900 employees, 270 physicians/allied health professionals, and 150 volunteers. KRMC is recognized as an innovator in rural healthcare and teaching hospital. We provide a full continuum of highly technical and specialized medical services to meet the healthcare needs of our community. Year after year the Leapfrog Group has awarded KRMC an "A" Grade for Patient Safety. KRMC has been recognized by Becker's 2025 list as one of the "Top 100 Greatest Community Hospitals" for our dedication to clinical excellence. We strive to provide a culture of safety, integrity, teamwork, accountability, respect and appreciation through recognition, career growth, and employee celebrations throughout the year for all of our staff. Kingman Regional Medical Center is a great place to work. Come join our team!

Kingman Healthcare, Inc. does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).