Job Description

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.

The Authorizations Clerk will verify patient insurance eligibility and coverage, ensuring that all necessary information is accurate and up-to-date. Will complete and submit authorization requests to third-party payers, ensuring that all data elements (such as CPT codes and diagnosis codes) are included. Will communicate with patients, healthcare providers, and insurance companies. Will maintain accurate records of all authorization requests, documenting approvals and denials, and following up on outstanding authorizations to ensure timely decisions.

Qualifications:

Prefer prior experience in medical billing, collections, insurance or coding. Excellent communication and interpersonal skills required. Bilingual-English-Spanish preferred. Ability to multitask and manage multiple requests simultaneously.

Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.