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Customer Navigation Coordinator II

4 months ago


Scottsdale, Arizona, United States HonorHealth Full time

Overview

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 to learn more.

Join us. Let's go beyond expectations and transform healthcare together.

HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 14,000 team members, 3,700 affiliated providers and hundreds of volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at

Responsibilities

Job Summary

The primary contact for customers who contact the Customer Navigation Center. Primary role is to optimize care coordination, customer navigation, appointment scheduling and support in-network referrals, radiology authorizations and customer tech council initiatives.

  • Handling of Inbound calls for scheduling, navigation, MyChart, medical questions, marketing leads, referral and authorization questions. Handling of Outbound calls for scheduling corrections, marketing leads, referrals (including outreach to obtain referrals from community providers), insurance benefit verification and authorizations, as well as any necessary Medical Group or Patient escalations, service recovery or follow-up.

  • Support marketing campaigns and initiatives using omni-channel strategies including outbound calling, online chat, email management, and lead management. Document all customer activities in CRM system for marketing automation efforts.

  • Demonstrates high level knowledge of insurance requirements for registration, referrals, and authorizations. Consistent coverage verification for patient appointments, including specialty referrals and radiology studies.

  • Utilize internal and external resources to seek knowledge about insurance plans.

  • Performs other duties as assigned.

Qualifications

Education

High School Diploma or GED Required

Experience

2 years of call center experience Required

Other Typing a minimum of 45 words per minute (WPM) Required

Other Basic knowledge of insurance plans and requirements

Knowledge of physician specialties and hospital services offered

Knowledge of medical terminology

Required

Licenses and Certifications

Successful completion of competency module (Level 2) upon hire Required