Referral and Authorization Coordinator

3 months ago


Phoenix, United States Center for Orthopedic and Research Excel Full time
Job DescriptionJob Description

Benefits:

  • $16.00-18.00 an hour
  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications:

  • Must have Healthcare experience with Managed Care Insurance, requesting Referrals, Authorizations for Insurance, and verifying Insurance benefits.
  • In-depth knowledge of insurance plan requirements for Medicaid and commercial plans.
  • Minimum two to three years of experience in a healthcare environment in a referral, front desk, or billing role. Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers. Working knowledge of Centricity Practice Management and Centricity EMR is a plus.

Essential Functions

  • Verifies and updates patient registration information in the practice management system.
  • Obtains benefit verification and necessary authorizations (referrals, precertification) prior to patient arrival for all ambulatory visits, procedures, injections, and radiology services
  • Uses online, web-based verification systems and reviews real-time eligibility responses to ensure the accuracy of insurance eligibility.
  • Creates appropriate referrals to attach to pending visits.
  • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
  • Completes chart prepping tasks daily to ensure a smooth check-in process for the patient and clinic.
  • Researches all information needed to complete the registration process including obtaining information from providers, ancillary services staff, and patients.
  • Fax referral forms to providers that do not require any records to be sent. Be able to process 75-80 referrals on a daily basis. For primary specialty office visits, fax referral/authorization forms to PCPs and insurance companies in a timely fashion.
  • Reviews and notifies front office staff of outstanding patient balances.
  • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
  • Respond to In-house provider and support staff questions, requests, and concerns regarding the status of patient referrals, care coordination, or follow-up status.
  • Identifies and communicates trends and/or potential issues to the management team.
  • Index referrals to patients account for existing patients.
  • Create new patient accounts for non-established patients to index referrals.
  • The job holder must demonstrate current competencies for the job position.


  • Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionMinimum Qualifications:A minimum of two years of experience in the healthcare field is required.Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry.Knowledge of scheduling and billing methods and policies regarding productivity/workload...


  • Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:$18-$20Competitive Health & Welfare BenefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportEmployee Wellness EventsMinimum Qualifications:A minimum of two years of...


  • Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:$18-$20Competitive Health & Welfare BenefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportEmployee Wellness EventsMinimum Qualifications:A minimum of two years of...


  • Phoenix, United States HonorHealth Full time

    OverviewLooking 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...


  • Phoenix, Arizona, United States HonorHealth Full time

    Overview:Are you seeking a role that allows you to contribute to a meaningful cause? At HonorHealth, you will be part of a dedicated team, enhancing the care experience for our patients. You will have the chance to make a significant impact. With initiatives like our Ambassador Movement and comprehensive training programs, you can choose how you wish to...


  • Phoenix, 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...


  • Phoenix, 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...


  • Phoenix, United States HonorHealth Full time

    Overview: Looking to be part of something more meaningful? At HonorHealth, youll be part of a team, creating a multi-dimensional care experience for our patients. Youll 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...


  • Phoenix, Arizona, United States HonorHealth Full time

    Overview Are you looking to contribute to a significant mission? At HonorHealth, you will be part of a dedicated team, enhancing the care experience for our patients. You will have the chance to make a meaningful impact through various initiatives and comprehensive training programs. HonorHealth provides a wide range of benefits for both full-time and...


  • Phoenix, Arizona, United States GTN Technical Staffing Full time

    Job OverviewPosition: Insurance Authorization Coordinator - HEALTHCAREKey DetailsLocation: RemoteType: Contractual (4+ months with potential for extension)Compensation: Competitive hourly rate based on experience (up to $26/hour)Eligibility: Must be a US Citizen or Green Card HolderWe are seeking an experienced Insurance Authorization Coordinator with a...


  • Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:Starting at $19.00Competitive Health & Welfare BenefitsMonthly $43 stipend to use toward ancillary benefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportEmployee...


  • Phoenix, United States Southwest Human Development Inc Full time

    Job DescriptionJob DescriptionA positive future for every childSouthwest Human Development is Arizona’s largest nonprofit dedicated to early childhood development. The first five years of life are the most critical in a child’s development. At Southwest Human Development, our services improve lives and help families by supporting young children and their...

  • Referral Coordinator

    3 months ago


    Phoenix, United States Arizona Gynecology Consultants Full time

    Job DescriptionJob DescriptionThe Referral Coordinator is responsible for contacting patients, referring providers, and primary care providers to obtain the necessary referral for patient appointments. Demonstrates auditing and problem-solving skills as well as excellent customer service and phone skills. Process inbound and outbound medical records release...


  • Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:$18.00-$21.00/HRCompetitive Health & Welfare BenefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportEmployee Appreciation DaysEmployee Wellness EventsMinimum...


  • Phoenix, United States Arizona Gynecology Consultants Full time

    Job DescriptionJob DescriptionThe Benefits Coordinator is responsible for obtaining insurance pre-authorizations, assisting patients with obtaining and maintaining health coverage, submitting claims, and following up on account receivables.  Demonstrates excellent customer service and phone skills. Gathers and maintains coordination of benefits.Researches,...


  • Phoenix, Arizona, United States Sonora Quest Full time

    Primary Location:Phoenix, ArizonaDepartment:Sendouts-Referral LaboratoryShift:VariedJob Category:Laboratory SupportPOSITION OVERVIEWThe Specimen Referral Coordinator is tasked with the packaging and dispatching of specimens, ensuring compliance with all federal and organizational regulations and protocols for items sent to external testing facilities.This...


  • Phoenix, Arizona, United States GTN Technical Staffing and Consulting Full time

    Insurance Authorization Specialist - Healthcare SectorPOSITION OVERVIEWLocation: Remote - full-time rolePosition Type: Contract opportunity (4+ months with potential for extension)Compensation: Competitive hourly rate based on qualifications (up to $26/hour)Eligibility: Must be a US Citizen or Green Card HolderOur organization is seeking an experienced...


  • Phoenix, Arizona, United States GTN Technical Staffing and Consulting Full time

    Insurance Authorization Specialist - HEALTHCAREPOSITION OVERVIEWRole Type: Contract position with potential for extensionCompensation: Competitive hourly rate based on qualificationsEligibility: US Citizens or Green Card Holders onlyGTN Technical Staffing and Consulting is seeking an experienced Insurance Authorization Specialist with a minimum of two years...


  • Phoenix, United States Arizona Gynecology Consultants Full time

    Job DescriptionJob DescriptionThe Surgery Coordinator coordinates with patients, physicians and operating facilities to schedule surgeries with minimal guidance. Facilitates efficient workflow, supports appropriate use of technology, and fosters effective communication. Coordinates surgery schedule with patient, physician and operating room, in support of...


  • Phoenix, Arizona, United States Center for Orthopedic and Research Excel Full time

    Join Our Healthcare Team at Center for Orthopedic and Research ExcelWe are in search of a meticulous and skilled Insurance Verification Specialist to enhance our dedicated team. This role is vital in ensuring that all patient insurance details are thoroughly verified and accurately recorded in our database.Key Benefits:Attractive hourly...