Martinch
Patient Navigator/Prior Authorization Specialist
Martinch, Stanton, California, United States, 90680
Full Time
History
Martin County Hospital District (MCHD) was organized in 1967 and has boundaries coterminous with Martin County, Texas. It is located in the heart of West Texas. Opened in 1949, the hospital was originally located near downtown Stanton. This facility served the community well for many years but was replaced with a state of the art 18 bed facility in 2012. The new facility is located on I20 and has been designated as a Critical Access Hospital.
POSITION PURPOSE The Patient Navigator/Prior Authorization Specialists a healthcare professional who guides patients through the complexities of the healthcare system to help ensure continuity of care both clinically and financially. The Navigator/Prior Authorization Specialist ensures that insurance prior authorizations are completed for services or medications ordered by and provided in the Rural Health Clinic. Works collaboratively with the insurance carriers to secure authorizations and is responsible to ensure referrals are completed. The navigator serves as a clinical resource for scheduling and referral clerks and provides support for nursing staff by assisting with communication boards as needed.
Requirements Education Healthcare related Certification or training required; Registered Medical Assistant or Nursing Degree required
Licenses/Certificates Certification as a Medical Assistant or a license to practice professional nursing by the Texas Board of Nursing or licensure from a state within the Nursing Compact. Successful completion of AHA approved courses in BLS upon hire.
Experience One (1) working experience in an outpatient clinic setting required. Insurance prior authorization experience preferred.
Mission Statement Committed to excellence, Martin County Hospital District will provide the highest quality, compassionate care to improve the lives of those we serve.
Vision Statement Martin County Hospital District strives to ensure the availability and viability of patient-centered primary and specialty care in a rural setting.
Martin County Hospital District is an equal opportunity employer that is committed to diversity, strong morals, values, and ethics. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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POSITION PURPOSE The Patient Navigator/Prior Authorization Specialists a healthcare professional who guides patients through the complexities of the healthcare system to help ensure continuity of care both clinically and financially. The Navigator/Prior Authorization Specialist ensures that insurance prior authorizations are completed for services or medications ordered by and provided in the Rural Health Clinic. Works collaboratively with the insurance carriers to secure authorizations and is responsible to ensure referrals are completed. The navigator serves as a clinical resource for scheduling and referral clerks and provides support for nursing staff by assisting with communication boards as needed.
Requirements Education Healthcare related Certification or training required; Registered Medical Assistant or Nursing Degree required
Licenses/Certificates Certification as a Medical Assistant or a license to practice professional nursing by the Texas Board of Nursing or licensure from a state within the Nursing Compact. Successful completion of AHA approved courses in BLS upon hire.
Experience One (1) working experience in an outpatient clinic setting required. Insurance prior authorization experience preferred.
Mission Statement Committed to excellence, Martin County Hospital District will provide the highest quality, compassionate care to improve the lives of those we serve.
Vision Statement Martin County Hospital District strives to ensure the availability and viability of patient-centered primary and specialty care in a rural setting.
Martin County Hospital District is an equal opportunity employer that is committed to diversity, strong morals, values, and ethics. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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