AR II - UTILIZATION REVIEW in San Diego, CA at Scripps System Wide Initiatives

Date Posted: 7/18/2019

Job Snapshot

Job Description

Change lives, starting with yours.

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.

The Access Representative (AR-II) is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various services. Acts as a liaison between hospitals, physicians, health plans, vendors, and patients or referral sources. Primary duties may include, but are not limited to initiating and managing clinical referrals for registered participants. Verifies insurance coverage and obtains authorizations if needed from insurance plans. Enters referrals and documents communications, actions, and other data in system.

Job Requirements

Required Qualifications:
  • Minimum one year experience in a healthcare setting

Preferred Qualifications:
  • Knowledge of electronic health records
  • EPIC, centricity a plus
  • Ability to document information consistently, timely and accurately
  • Ability to work independently

Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, only San Diego-based company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today.

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.