Posted:
8/13/2024, 5:00:00 PM
Location(s):
Phoenix, Arizona, United States ⋅ Arizona, United States
Experience Level(s):
Junior ⋅ Mid Level
Field(s):
Medical, Clinical & Veterinary
Primary City/State:
Phoenix, ArizonaDepartment Name:
Neuro Admin-ClinicWork Shift:
DayJob Category:
Administrative ServicesThe academic medicine difference. At the center of Banner – University Medicine is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today.
This position is in our high-volume Neuroscience Institute where 19 providers with 8 specialties provide the most advanced care for conditions impacting the brain. Our expert neurologists are improving care and research for many conditions including stroke, epilepsy, multiple sclerosis and brain injury. Our skilled neurosurgeons provide cutting edge therapies for complex conditions such as brain aneurysms, epilepsy, spinal disorders and many other conditions.
This position is full time Monday - Friday from 8:30am-5:00pm, and will be responsible for incoming/outgoing referrals, CEC chat monitoring. Revcycle/cerner experience preferred, bilingual (spanish) preferred. Family team environment, we do not work major holidays or weekends, providers are down to earth and helpful!
Banner Health has been recognized by Becker’s Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweek’s list of America’s Greatest Workplaces 2023 for Diversity.
These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement.
POSITION SUMMARY
This position is responsible for coordinating referral orders for a continuation of treatment, such as specialty services and diagnostic testing within a primary care practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for tracking and managing all referrals with the intention and outcome to close any patient care gaps, along with providing documentation to promote team awareness.
CORE FUNCTIONS
1. Schedules appointments for specialty physician services and diagnostic testing per provider request and communicates with the patient on a timely basis for all scheduling requirements
2. Acts as a liaison between patients, providers and staff members for patients’ referral and follow up needs. Provides prompt and professional service for the patients by assisting in educating patient/family and assisting patients with external resources when needed.
3. Provides all pertinent clinical information needed for the payor authorization, the facility or specialist prior to the services being rendered by verifying coverage, obtaining authorization and communicating with receiving facilities
4. Tracks and manages all referrals by monitoring outstanding referrals at 30/60/90 day intervals and following up with patients if appointments are not kept
5. Applies knowledge of medical terminology and maintains up to date knowledge of insurance environment. Utilizes internal and external resources to seek knowledge about regulations regarding various payor sources
6. Collaborates with outside referral sources and other community resources. Maintains an updated list of community resources and networks with colleagues to develop additional referral sources
7. This position has frequent communications with patients, physicians, staff, and third party payers. The position must work with and understand the concepts of managed health care and be able to prioritize tasks within established guidelines with moderate supervision
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge.
Possesses 1 year of direct patient interaction/experience in a medical, insurance, or healthcare related industry.
Knowledge of HIPAA regulations. Strong customer service focus and willingness to problem solve. Effective verbal and written communication skills and the ability to manage competing priorities. Must be proficient with commonly used office software.
Employees working at Banner Scottsdale Sports Medicine, second floor must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
PREFERRED QUALIFICATIONS
Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9 and CPT codes.
Additional related education and/or experience preferred.
EEO Statement:
EEO/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Website: https://bannerhealth.com/
Headquarter Location: Phoenix, Arizona, United States
Employee Count: 10001+
Year Founded: 1999
IPO Status: Private
Industries: Health Care ⋅ Insurance ⋅ Non Profit