Job description
Overview:
High School Diploma or GED Required
Experience
3 to 4 years related experience in medical referrals Required
Licenses and Certifications
Other Must demonstrate proficiency in Electronic Health Record post hire by attending required training and passing proficiency test. Required
Responsibilities: Job Summary
Referral Coordinator II-PN is responsible for serving as a specialist in the coordination of all aspects of specialty referrals, eligibility verification and maintenance for practice patients. This responsibility includes obtaining client information, maintaining patient files, verifying information with appropriate agencies, and reporting statistics and data as required.
Hybrid Position
Osborn Medical Center
8am-4:30pm
Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.
HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.
Join us. Let’s go beyond expectations and transform healthcare together.
HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth’s mission is to improve the health and well-being of those we serve.
As a community healthcare system, we have a unique responsibility to keep our facilities as safe as possible to protect our patients and team members. With this in mind, we require all new hires to have received the first dose of a COVID-19 vaccine before their start date and be scheduled for their second dose. New hires who choose to receive the Johnson & Johnson vaccine only need one dose to fulfill this requirement. Reasonable accommodations will be considered.
Qualifications: Education
HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.
Join us. Let’s go beyond expectations and transform healthcare together.
HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth’s mission is to improve the health and well-being of those we serve.
As a community healthcare system, we have a unique responsibility to keep our facilities as safe as possible to protect our patients and team members. With this in mind, we require all new hires to have received the first dose of a COVID-19 vaccine before their start date and be scheduled for their second dose. New hires who choose to receive the Johnson & Johnson vaccine only need one dose to fulfill this requirement. Reasonable accommodations will be considered.
High School Diploma or GED Required
Experience
3 to 4 years related experience in medical referrals Required
Licenses and Certifications
Other Must demonstrate proficiency in Electronic Health Record post hire by attending required training and passing proficiency test. Required
Responsibilities: Job Summary
Referral Coordinator II-PN is responsible for serving as a specialist in the coordination of all aspects of specialty referrals, eligibility verification and maintenance for practice patients. This responsibility includes obtaining client information, maintaining patient files, verifying information with appropriate agencies, and reporting statistics and data as required.
- Serves as a specialist in processing and approving selected specialists referrals according to criteria and guidelines established by the Network in general and PN specifically.
Obtains referral request documentation
Demonstrates a high degree of accuracy and timeliness in completing referral authorizations/prior authorizations
Compiles all pertinent medical data and supporting documentation and faxes or mails to appropriate receiver.
Verifies eligibility, benefits and contractual appropriateness.
Acts as liaison between practice, patients, referral sources, and health insurance companies to resolve complaints and problems.
Serves as expert internal consultant to all levels of practice staff.
Monitors and resolves the status of problem authorizations
Identifies trends and makes recommendations for corrective actions and/or process improvements.
- Responsible for recording referral information on Referral Log in order to assist in the tracking of referral numbers and costs to assist in budgetary forecasting and to assure follow-up.
- Responsible for training and orientation of new Referral Coordinator’s into practice.
Trains new Referral Coordinator employees on correct policies and procedures as needed.
- Continually maintains Health Insurance Portability and Accountability Act (HIPAA) and other compliance requirements.
Enters non-clinical information into patient electronic medical record (EMR system. Ensures all required information is keyed in thoroughly and accurately.
Views non-clinical information in EMR system.
Independently formulates information to be entered into EMR.
Obtains information to be entered from multiple sources such as providers, nurses, etc.
Logs, tracks, and resolves issues within specific timeframe to ensure accuracy and timeliness of data entry.
Brings errors and/or issues to the attention of designee.
Navigates through multiple complex EMR screens and enters data.
Performs other duties as assigned.
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