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Funding Specialist

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Valley Children's Healthcare

17d ago

  • Job
    Full-time
    Junior Level
  • Healthcare
    Business, Operations & Strategy
  • Madera

AI generated summary

  • You need 1+ year in medical insurance or billing, knowledge of medical terminology, Excel skills, and strong communication, problem-solving, analytical, and time management abilities. High school diploma required.
  • You will secure funding for outpatient services, process patient referrals and authorizations, and collaborate with departments to ensure timely communication on authorization statuses.

Requirements

  • Minimum one (1) year related experience in obtaining medical insurance, government authorizations or medical insurance/government billing
  • Medical terminology, previous registration and/or billing experience in physician practice, clinic/hospital care setting
  • Working knowledge of Excel software
  • Strong communication
  • Problem solving
  • Analytical skills
  • Interpersonal skills
  • Time Management
  • Critical thinking
  • High School diploma as accredited by the US Department of Education or GED required

Responsibilities

  • The role of Funding Specialist 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).

FAQs

What is the status of the Funding Specialist position?

The position is Full Time and Non-Exempt.

What is the required experience for the Funding Specialist role?

A minimum of one (1) year related experience in obtaining medical insurance, governmental authorizations, or medical insurance/government billing is required.

Is a specific educational background required for this position?

Yes, a High School diploma as accredited by the US Department of Education or GED is required.

What skills are critical for success in this role?

The critical skills for success include strong communication, problem-solving, analytical skills, interpersonal skills, time management, and critical thinking.

What software knowledge is necessary for this job?

A working knowledge of Excel software is necessary for this position.

What is the pay range for the Funding Specialist position?

The pay range is between $24.60 and $34.05 per hour.

In which location is the Funding Specialist role based?

The position is located in Madera, CA 93636, USA.

What type of services does the Funding Specialist work with?

The Funding Specialist is responsible for securing funding for outpatient services, including ambulatory practices, day surgery, and imaging services.

How must referrals and authorizations be processed?

Referrals and authorizations must be processed as timely and accurately as possible concerning the services to be rendered.

Who does the Funding Specialist collaborate with to ensure timely communication and follow-up?

The Funding Specialist works closely with the Point of Care Departments and Patient Accounting to ensure timely communication and follow-up regarding authorization status.

How many hours are expected to be worked per pay period?

The expectation is to work 1.0 FTE, which is 80 hours per pay period.

Are there any community initiatives that the organization participates in?

Yes, Valley Children's Healthcare participates in community initiatives and supports community efforts where they can do the most good.

How can I get in touch if I have questions about this position?

You can call Recruitment Services at 559-353-7071 or email us at recruiting@valleychildrens.org.

Is there a possibility of salary adjustment based on experience?

Yes, final compensation will be dependent upon skills and experience.

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Valley Children's Healthcare

Valley Children's. Futures worth fighting for.

Science & Healthcare
Industry
1001-5000
Employees
1952
Founded Year

Mission & Purpose

Valley Children’s Healthcare provides Central California’s only high-quality, comprehensive care exclusively for children, from before birth to young adulthood. Our independent, nonprofit network offers highly specialized medical and surgical services to treat conditions ranging from common to the most unusual and complex at our 358-bed children’s hospital as well as through partner hospitals, specialty care centers, satellite practices and primary care services. Our family-centered, pediatric services extend from a leading pediatric cancer and blood diseases center on the West Coast, and our pediatric heart center known for its expertise and pioneering treatments, to our Level IV neonatal intensive care unit (NICU), the highest level referral center between Los Angeles and the Bay Area. Valley Children’s consistently ranks at the top of our peer group for quality patient outcomes, patient satisfaction and nursing excellence. Recognized as a Magnet® designated facility since 2004 and granted the gold-level Beacon Award for Excellence™ in critical care, Valley Children’s neonatal and pediatric intensive care units achieve some of the lowest mortality rates in the country while treating some of the sickest kids. In 2021, U.S. News and World Report again named Valley Children’s one of the best children’s hospitals in the country in seven pediatric specialties. In affiliation with Stanford University School of Medicine, Valley Children’s Pediatric Residency and fellowship programs provide first-class training for the next generation of pediatricians and pediatric surgical and medical specialists. With more than 670 physicians and 3,500 staff, Valley Children’s partners with other providers and organizations throughout our 12-county service area to support delivering the best care to kids closer to home.