RH SSMC Referral Specialist

Job Description

Job Ttitle: RH SSMC Referral Specialist

Company: Ridgecrest Regional Hospital


Description: OUR TOP WORK PERKS

• Flexible scheduling – because work/life balance matters to us
• Tuition reimbursement and learning opportunities – we give you the opportunity to continuously grow
• Fantastic total rewards program, including: medical, dental, vision and 403B
• Gym Membership Reimbursement, Free Chair Massages
• Paid time off – we value your life outside of work
• …and so much more!

A BIT ABOUT USWe are Ridgecrest Regional Hospital, and our goal is to be the partner of choice for the healthcare needs of our community. We take a person-centric focus to healthcare, and this means that every individual who steps through our doors – be they a patient, family member, or staff – is at the center of everything we do.
Our town of Ridgecrest is a family-friendly community of 30,000 in the desert of central Southern California, far from the traffic and commotion of LA. It’s near the Sierra Mountains and full of natural wonders, outdoor activities, and sunshine. It offers plenty of beautiful outdoor scenery and activities, as well as shorter commutes, great schools, and a more easygoing lifestyle! This critical access hospital is close to Mount Whitney, Sequoia National Forest and Death Valley. It is the perfect close-knit community if you are an outdoor adventurist looking for slightly slower-paced living while also continuing to grow in your healthcare career.Learn about a nursing career at RRH:
What’s it like to work at RRH?:JOB SUMMARY:Responsible for receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support for the clinical areas and patients for referrals and prior authorizations.Essential Functions:
1. Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre-authorization for patients and re-authorization of additional treatment. Ensures insurance carrier documentation requirements are met and referral support documentation is filed in patient’s medical record.
2. Efficiently manages correspondence with patients, physicians, specialists, and insurance companies. Documents pertinent information on referral form and/or in medical record.
3. Works in collaboration with Patient Financial Services to improve the Revenue Cycle process. Continually improve work process to enhance service and customer relations.
4. Works to improve referral processes, communication, and patient care as it relates. Keeps up with continual changes in the health insurance with regards to referrals and communicates those changes as appropriate.
5. Ability to read, understand, write, and communicate effectively in the English language
6. Performs other duties as assigned.
7. Computer experience (Microsoft Word, Excel) with the ability to type 25 WPM without errors
8. Must be able to put into practice Service Excellence skills with patients, families
and co-workers.Qualifications:
1. High school graduate or equivalent required
2. Two years college in related field or accredited business school preferred.
3. Medical Assistant, LVN, or RN highly desired.Experience/Training:
1. Minimum of three years of experience working in insurance in a medical related field or other related experience.
2. Demonstrated experience in insurance requirements for referrals and/or prior authorizations to various therapies, surgeries, procedures, diagnostic testing, etc.Additional Info:Pay Ranges:$22.44-$35.90Full time:
Medical, Dental, Vision and 403B, Life Insurance, Flex Spending Accounts, Employee Assistance Program, Gym Membership Reimbursement, Paid Time OffContact information
Apply online or by sending resume to recruiter@rrh.org. Due to the volume of applications we receive, only those candidates selected for an interview will be contacted. Thank you for your interest in Ridgecrest Regional Hospital.

Salary:

Location: Ridgecrest, CA

Date: Sun, 20 Jul 2025 01:56:28 GMT


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