Referral/Prior Authorization Specialist - Monadnock Health Partners - Full Time

Be part of something bigger

Position Overview:

Discover this exciting career opportunity awaiting you at Monadnock Community Hospital (MCH). The Referral/Prior Authorization Specialist at our small nonprofit community hospital plays a crucial role in ensuring the timely and accurate processing of referrals and authorizations. This individual monitors the appropriateness and medical necessity of referrals while providing essential support to primary care and specialty care providers.

As a Referral Prior Authorization Specialist, you'll be part of something bigger, collaborating with a diverse and knowledgeable team dedicated to providing high-quality healthcare to our community. At MCH, we value your passion for patient care and teamwork, recognizing that every employee plays a vital role in the success of our organization. If you are a dedicated professional with a passion for ensuring timely and accurate processing of referrals and authorizations, we encourage you to apply.

About Us:

Monadnock Community Hospital is a 25-bed critical access hospital, located in the heart of the desirable Monadnock region in Peterborough. At MCH, we prioritize accessible, high-quality, and value-based care, ensuring our patients receive the utmost attention and support. MCH offers robust benefits and competitive compensation, along with multiple employee engagement opportunities. Apply today to become part of our dynamic team!

Responsibilities:

Administrative Support:

• Confidentiality & Compliance: Ensures secure handling of sensitive data.

• Data Management & Reporting: Provides data insights for leadership decisions.

• Request & Document Processing: Facilitates smooth workflow through efficient processing.

• Meeting & Activity Coordination: Manages logistics for seamless execution of events.

• Executive & Communication Support: Empowers executives and streamlines communication.

• Supply & Facility Management: Maintains a functional and well-equipped workspace.

• Recruitment Support: Streamlines onboarding for new team members.

Customer Care/Patient Experience:

• Data Collection & Follow-Up: Gathers patient feedback and ensures timely resolution of concerns.

Risk Management Support:

• Confidential Handling & Complaint Coordination: Supports risk mitigation through secure handling of sensitive matters and patient complaints.

Uphold the values of MCH: Compassion, Collaboration, Honesty, and Respect.

Other: Other duties as assigned.

Experience:

The ideal candidate must have the capability to work under minimal supervision and maintain detailed organization in a fast-paced, high-volume environment. Requirements include:

• Demonstrated knowledge of insurances.

• At least one year of pre-cert experience, including navigating websites for online benefit reviews.

• Excellent computer, multitasking, and phone skills.

• Ability to work well under pressure (most of the paperwork is time-sensitive).

• Team player and willingness to perform diversified job duties.

Working Hours:

Full time

Salary:

Competitive salary based on experience.

MCH offers a supportive and collaborative work environment. If you're a passionate and team-oriented individual seeking a rewarding career, we encourage you to apply!

Are you ready for a great job in a great place?

Are you ready for a career the supports your aspirations?

Are you ready to work in the best place you've ever lived?

Apply Now! Or click the Apply button above