Job Description

Funding Specialist - Outpatient Services Funding

JOB SUMMARY: This position is responsible for securing funding for payers for all outpatient services including, ambulatory practices, day surgery, and imaging services. The position will receive patient referrals and authorizations from the payers and Primary Care Physicians including external /internal departments that need authorizations from the appropriate governmental agency or insurance company. This position is accountable for obtaining and processing of CCS, Government or Commercial insurance for the appropriate authorization of initial and/or follow up services. These referrals/authorizations must be processed as timely and accurately as possible with respect to the services that are to be rendered. This position will work closely with the Point of Care Departments and Patient Accounting in order to ensure timely communication and follow up regarding the authorization status of each patient(s).

JOB REQUIREMENTS: This position requires: A) High School Grad/GED; and B) minimum of five (5) years related experience in obtaining medical insurance, government authorization or medical insurance/government billing; and C) Strong communication skills, problem solving skills, analytical skills, interpersonal skills as well as time management and critical thinking skills; Preferred medical terminology, previous registration and/or billing experience in physician practice, clinic/hospital care setting and working knowledge of Excel software.

POSITION DETAILS: Per diem position. Hours as needed, Mon - Fri.

LOCATION: Fresno, CA

Application Instructions

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