Job Description

  • Job LocationUS-AZ-PHOENIX
    Requisition ID
    2019-18747
    Shift
    01 - Days
    Department
    Pre-Registration
    Facility
    Support Services
    Position Type
    Regular Full-Time
    Physical Work Location and New Employee Orientation Location : Address
    2500 W UTOPIA
    Work Hours
    Friday-Tuesday 8a-430p
  • Overview

    HonorHealth is a non-profit, local healthcare organization known for community service and outstanding medical quality. HonorHealth encompasses five acute care hospitals with approximately 11,500 employees and 4,500 volunteers, over 70 primary and specialty care practices, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.

    HonorHealth is a leader in medical innovation, talent and technology with a genuine commitment to your growth. The health system's vibrant careers take place in an environment filled with opportunity and respect because we see the HONOR in you.

    Qualifications

    Education
    High School Diploma or GED Required

    Experience
    Nine (9) months in healthcare field including medical office insurance/front desk, hospital registration, hospital business office (billing or collections). Required

    Responsibilities

    Job Summary
    Ensures all admissions to inpatient or observation from the emergency department, direct admissions, and L&D patients' admissions are authorized, when required, based on payor auth requirements. Notifies patients' insurance plans of admission utilizing payor websites or faxing notification with patient face sheet. Ensures authorization is for appropriate patient class. Verifies patients are covered/eligibility under insurance plan by running real-time eligibility (RTE), when available, using payor websites, or calling payor to obtain the information. Communicates with Admitting Services Intake Counselors when patient's plan is not showing active coverage. Documents EMR/EPIC appropriately according to department standards. Collaborates and communicates frequently with Case Management/UR nurses regarding payor requirements for clinical documentation or updates to patient's medical condition in order to secure appropriate level of authorization for the inpatient or observation admission.

    • Works accounts from assigned WQ, confirm correct insurance plan was encoded on account, update if needed. Faxes inpatient or observation notification of admission to payors utilizing appropriate method ensuring payor requirements are met for admission notification and documenting the EMR/EPIC appropriately according to department standards. Communicates with Admitting Services Intake Counselors if patient’s coverage is termed or if unable to determine correct coverage with payor information obtained at time of admission.
    • Continuously monitors deferred and pending authorization accounts and follows up appropriately and timely with payor for authorization.
    • Notifies payor/plan when patient class changes, ensuring auth is reflecting the appropriate patient class. Ensures the Bed Days form is completed accurately, when applicable
    • Communicates appropriately with Case Management/UR nurses for clinicals requested by payor or admission authorization denials from payor by following defined workflow and documenting EPIC/EMR appropriately according to department standards.
    • Monitors OnBase daily for incoming faxes from payors with authorization information, index documents to appropriate patient account, and document EMR/EPIC Auth/Cert according to defined workflow and department standards.
    • Performs other duties as assigned.



    It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.

    Please review the Equal Employment Opportunity poster.

    Please review the Equal Employment Opportunity Poster.HonorHealth wants all interested and qualified candidates to apply for employment opportunities. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at EmploymentOffice@HonorHealth.com . Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

    Apply Online