Where You’ll Work

At Dignity Health, living our values means bringing passion into action every day. Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your career.

 

What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers.

 

As you build your career at DH-YRMC, you’ll find Prescott is an inspiring place to live, work and to enjoy the outdoors.

· It is an inviting community with bygone charm and modern amenities.

· Local residents enjoy four spectacular seasons, while the area offers nearly year-round sunshine for any outdoor adventures.

· The carefree, relaxed lifestyle offers short commute opportunities, so you can focus on your career and your family.

Dignity Health-Yavapai Regional Medical Center extends this feeling with a strong sense of family, security, and belonging. Our compassion and commitment to quality care has earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020) and America’s 100 Best Hospitals for Stroke Care Awards (2020, 2021) and has placed us at the top of the charts in community and nationwide in healthcare. Come experience the incredible quality-of-life that Dignity Health-YRMC and Prescott has to offer! #hellohumankindness 

Job Summary and Responsibilities

*6 Weeks On-site training Required*

 

The Referral and Authorization Specialist II is responsible for ensuring patients have been authorized forspecialty services and office visits; obtaining and issuing referrals for ancillary or consult visits; obtainingapproval for all services needed. Acts as a liaison between the patient, provider/ referring provider, primary careprovider, and other parties involved in the plan of care. Schedules and coordinates diagnostic testing andunderstands and communicates required preparation for diagnostic tests/ procedures. May act as escalationpoint for authorization denials. May additionally coordinate operating/procedure rooms, equipment, anesthesia,pre-op and imaging, authorizations and physician schedules for surgery.

 

 

• Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with patients, insurance carriers and various internal departments
• Completes the referral process for a patient's specialty referral needs. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments and notifying patients of progress
• Completes full registration in Cerner Revenue Cycle when registering new patients. Ensure all patient information is updated/ current when following up/ interacting with patients. Verify insurance eligibility and benefits as appropriate for proposed services and procedures.

Job Requirements

Minimum

High School Diploma/GED

Minimum of two (2) years experience in Medical Office or other healthcare environment

Basic Computer skills, Excel, Outlook, windows based programs Basic Computer Hardware skills, setting up minimal workstations

Preferred

Experience with Cerner Powerchart and Revenue Cycle EMR Applications

Previous experience with referral processing and authorizations

Certified Medical Assistant AAMA (CMA) Certified Clinical Medical Assistant (CCMA)

Bi-lingual