Referral Technician - Managed Care
Prime Healthcare
Overview
Join an award-winning team of dedicated professionalscommitted to our core values ofquality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation’s“100 Top Hospitals”and“A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Desert Valley Hospital, along with Desert Valley Medical Group, offerskey servicesto the community includingheart care, emergency services, labor and delivery, surgical services and more. For more information visit www.DesertValleyHospital.com .
Desert Valley Medical Groupoffers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs.
Our Total Rewards package includes, but is not limited to:
+ Paid Time Off
+ 401K retirement plan
+ Outstanding Medical
+ Dental
+ Vision Coverage
+ Tuition Reimbursement
+ Many more Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/)
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Responsibilities
Responsible for processing assigned outside provider referrals as well as obtain authorizations for testing in house. Assures timely submissions of authorizations to patients and providers. Maintaining quality care and cost containment per health plan and DVMG. Interacts with all members of the hospital staff, medical staff, patient’s family/significant other and community agencies in providing comprehensive care.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
1. High School graduate or GED
2. Managed care experience and possess knowledge of health plan requirements
3. Basic knowledge of Microsoft Word, Excel and Access
Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $22.98. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Connect With Us! (https://careers-primehealthcare.icims.com/jobs/191720/referral-technician---managed-care/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)
FacilityDesert Valley Medical Group
LocationUS-CA-Victorville
ID2025-191720
CategoryBusiness Professional
Position TypeFull Time
ShiftDays
Job TypeNon-Exempt
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