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Referral Prior Authorization Rep
2 months ago
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 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 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 HonorHealth.com. ResponsibilitiesJob SummaryThe Referral Coordinator-PN is responsible for coordinating 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. Processes and approves selected specialists referrals according to criteria and guidelines established in general and PN specifically.Obtains referral request documentationCompletes referral authorization/prior authorization in a timely fashion and in accordance with practice requirements.Compiles all pertinent medical data and supporting documentation and faxes or mails to appropriate receiver.Verifies eligibility, benefits and contractual appropriateness.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 Electronic Health Records:Continually maintains Health Insurance Portability and Accountability Act (HIPAA) and other compliance requirements.Enters non-clinical information into patient electronic health record (EHR) system. Ensures all required information is keyed in thoroughly and accurately.Views non-clinical information in patient EHR system. Independently formulates information to be entered into EHR system.Obtains information to be entered from multiple sources such as providers, nurses, etc.Logs, tracks, and resolves issues within specific time frame to ensure accuracy and timeliness of data entry.Brings errors and/or issues to the attention of designee.Navigates through multiple complex EHR screens and enters data.Performs other duties as assigned. QualificationsEducationHigh School Diploma or GED RequiredExperience6 months in a medical office Required Licenses and Certifications Must demonstrate proficiency in Electronic Health Record post hire by attending required training and passing proficiency test. Required
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Referral Prior Authorization Rep
10 hours ago
Phoenix, United States HonorHealth Full timeOverview 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...
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Phoenix, United States HonorHealth Full timeOverview: 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...
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Referral and Authorization Coordinator
2 months ago
Phoenix, United States Center for Orthopedic and Research Excel Full timeJob DescriptionJob DescriptionBenefits:$16.00-18.00 an hour Competitive 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...
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Referral and Authorization Coordinator
2 months ago
Phoenix, United States Center for Orthopedic and Research Excel Full timeJob DescriptionJob DescriptionBenefits:$16.00-18.00 an hour Competitive 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...
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Surgical Referral and Authorization Coordinator
1 month ago
Phoenix, United States Center for Orthopedic and Research Excel Full timeJob DescriptionJob DescriptionBenefits: Salary $18-20Supporting CISH ( Core Institute Specialty Hospital) and Elevation Surgery centers Competitive 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...
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Housing Claims
3 days ago
Phoenix, United States Arizona Official Website of State of Arizona Full timeJob Summary: The Housing Claims & Prior Authorization Manager, who reports to the Claims Operations Administrator, is tasked with ensuring that prior authorizations and claims for Health and Housing Opportunities (H2O) services are reviewed and processed promptly. This role involves verifying that claims documentation from provider organizations...
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Insurance Authorization and Referral Specialist
3 weeks ago
Phoenix, United States CommonSpirit Health Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
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Insurance Authorization and Referral Specialist
3 weeks ago
Phoenix, United States Unavailable Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
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Insurance Authorization and Referral Specialist
3 weeks ago
Phoenix, United States CommonSpirit Health Full timeOverview: CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
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Clinical Sales Representative
2 weeks ago
Phoenix, United States Rep-Lite Full timeJob DescriptionJob Description***Exciting opportunity! Join us as a Clinical Sales Rep – perfect for B2B pros or 1-2 years in medical sales. Apply now!***Position OverviewThe Clinical Sales Representative is responsible for creating a positive professional customer experience and expanding system utilization. This includes launching new programs, providing...
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Clinical Sales Representative
3 weeks ago
Phoenix, United States Rep-Lite Full timeJob DescriptionJob Description***Exciting opportunity! Join us as a Clinical Sales Rep – perfect for B2B pros or 1-2 years in medical sales. Apply now!***Position OverviewThe Clinical Sales Representative is responsible for creating a positive professional customer experience and expanding system utilization. This includes launching new programs, providing...
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Clinical Sales Representative
1 day ago
Phoenix, United States Rep-Lite Full timeJob DescriptionJob Description***Exciting opportunity! Join us as a Clinical Sales Rep – perfect for B2B pros or 1-2 years in medical sales. Apply now!***Position OverviewThe Clinical Sales Representative is responsible for creating a positive professional customer experience and expanding system utilization. This includes launching new programs, providing...
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Surgical Authorization Specialist
1 month ago
Phoenix, United States Center for Orthopedic and Research Excel Full timeJob 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...
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Surgical Authorization Specialist
2 months ago
Phoenix, United States Center for Orthopedic and Research Excel Full timeJob 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...
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Authorization Specialist
2 months ago
Phoenix, United States American Vision Partners Full timeCompany Intro At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center,...
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Authorization Specialist
12 hours ago
Phoenix, United States American Vision Partners Full timeCompany Intro: At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center,...
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Insurance Specialist – Onsite North of Phoenix
2 months ago
Phoenix, United States RemX | The Workforce Experts Full timeCompany’s Ambulatory Infusion Centers offer a more convenient, comfortable and cost-efficient alternative to hospital-based infusions for patients requiring medications to be administered by a healthcare professional. Pay Range: $23 Type of Hire: Temp to hire ( after 13 weeks) Location: Onsite>Phoenix AZ 85054 (Located in north Phoenix in an area called...
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Insurance Specialist
6 days ago
Phoenix, United States RemX Full timeJob DescriptionJob DescriptionCompany’s health provider Centers offer a more convenient, comfortable and cost-efficient alternative to hospital-based infusions for patients requiring medications to be administered by a healthcare professional. Type of Hire: Temp to hire ( after 13 weeks)Location: Onsite>Phoenix AZ 85054(Located in north Phoenix in an area...
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Customer Service Rep
2 months ago
Phoenix, United States Pristine Auction Full time**Customer Service Rep** Customer Service Phoenix, Arizona Department **Customer Service** Minimum Experience **Mid-level** Compensation **Based on experience** **Customer Service Representative** Customer Service is expanding and seeking representatives who loves a challenge, are interested in continuing to grow with Pristine Auction, and have a strong...
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Procedure Authorization Specialist
1 month ago
Phoenix, United States Center for Orthopedic and Research Excel Full timeJob DescriptionJob DescriptionBenefits:$18.00-$21.00/HRCompetitive 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...