Referral Prior Authorization Specialist

5 hours ago


Phoenix, Arizona, United States HonorHealth Full time
About the Role

HonorHealth is seeking a skilled Referral Prior Authorization Rep to join our team. As a key member of our healthcare system, you will play a vital role in coordinating specialty referrals, eligibility verification, and maintenance for practice patients.

Key Responsibilities
  • Obtain client information and maintain patient files
  • Verify information with appropriate agencies and report statistics and data as required
  • Process and approve selected specialists referrals according to established criteria and guidelines
  • Compile and fax or mail pertinent medical data and supporting documentation
  • Verify eligibility, benefits, and contractual appropriateness
  • Record referral information on Referral Log for tracking and budgetary forecasting
Requirements
  • High School Diploma or GED
  • 6 months of experience in a medical office
  • Proficiency in Electronic Health Record (EHR) system
What We Offer

HonorHealth offers a diverse benefits portfolio and opportunities for professional growth and development. If you are a detail-oriented and organized individual with excellent communication skills, we encourage you to apply for this exciting opportunity.



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