Referral/Prior Authorization Specialist - Monadnock Orthopaedics - Full Time

Referral/Prior Authorization Specialist - Monadnock Orthopaedics - 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!

About Our Benefits:

Amazing people deserve amazing benefits.

We strive to employ and retain the most highly qualified individuals by providing equitable wages and benefits, promoting from within, and supporting the continuing education efforts of our staff.

You will be valued and rewarded for the work you do here with excellent pay and outstanding benefits. At MCH, you'll find great opportunities for career advancement as well as personal and professional growth.

Full-time employees enjoy:

• Health insurance
• Dental insurance
• Vision coverage
• Life and long-term disability insurance
• Retirement savings plan with employer contributions
• Tuition reimbursement
• Generous paid vacations and holidays
• Opportunities for professional development and training
• Free membership to local gym
• Scholarship Opportunities
• Positive work environment with a supportive team and opportunities for growth

About Monadnock Community Hospital:

Reach new heights at Monadnock Community Hospital.

MCH is a critical access hospital in beautiful, historic Peterborough, New Hampshire.

For 100 years, we have provided outstanding care to our communities, earning a reputation for excellence that has made us one of New Hampshire's most successful and beloved small hospitals.

Join a culture of Compassion, Collaboration, Honesty, and Respect!

Our employees are the heart and soul of Monadnock Community Hospital.

In every department and at every level, MCH employees go above and beyond to deliver an exceptional patient experience in an atmosphere that is healthy, friendly, respectful, and personally fulfilling.

About the Monadnock Region:

A great place to live, work, and play.

One of the best things about working at Monadnock Community Hospital is that you get to live in a community that offers an amazing quality of life.

The state of New Hampshire consistently ranks in the Top Ten of all American states for its overall quality of life. Towns are small and friendly here, crime is low, schools are good, and the air and water are clean.

Balance meaningful work with a great life.

Here in the Monadnock Region, you can enjoy a standard of living that is hard to match anywhere. Let's start with our mountain for which we are named.

Around the 3,165 foot Mount Monadnock with 100-mile views are forests, woods, lakes, and protected rivers providing abundant opportunities for hiking, biking, kayaking, fishing, cross-country skiing you name it!

And if you're into the arts, the region also offers a lively arts scene, with galleries, theatres, and concert venues.

• New England community spirit
• Family-friendly
• Arts and culture
• All-season outdoor recreation
• Just 1.5 hours to Boston

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

Are you ready for a career that supports your aspirations?

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