Job Description

  • Job LocationUS-AZ-PHOENIX
    Requisition ID
    2019-22647
    Shift
    01 - Days
    Department
    HH Phx Neurological
    Facility
    HonorHealth Medical Group
    Position Type
    Regular Full-Time
    Physical Work Location and New Employee Orientation Location : Address
    5090 N 40TH ST
    Work Hours
    M-F 8a-5p
  • 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
    3 years 3-4 related experience in medical referrals. Required

    Licenses and Certifications
    Other Must demonstrate proficiency in Electronic Health Record post hire by attending required training and passing proficiency test. Required

    Responsibilities

    Job Summary
    Referral Coordinator II-PN is responsible for serving as a specialist in the coordination of 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.
    • 1.Serves as a specialist in processing and approving selected specialists referrals according to criteria and guidelines established by the Network in general and PN specifically.
      •Obtains referral request documentation
      •Demonstrates a high degree of accuracy and timeliness in completing referral authorizations/prior authorizations
      •Compiles all pertinent medical data and supporting documentation and faxes or mails to appropriate receiver.
      •Verifies eligibility, benefits and contractual appropriateness.
      •Acts as liaison between practice, patients, referral sources, and health insurance companies to resolve complaints and problems.
      •Serves as expert internal consultant to all levels of practice staff.
      •Monitors and resolves the status of problem authorizations
      •Identifies trends and makes recommendations for corrective actions and/or process improvements.
    • 2.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.
    • 3.Responsible for training and orientation of new Referral Coordinator’s into practice.
      • Trains new Referral Coordinator employees on correct policies and procedures as needed.
    • 4. Continually maintains Health Insurance Portability and Accountability Act (HIPAA) and other compliance requirements.
      •Enters non-clinical information into patient electronic medical record (EMR system. Ensures all required information is keyed in thoroughly and accurately.
      •Views non-clinical information in EMR system.
      •Independently formulates information to be entered into EMR.
      •Obtains information to be entered from multiple sources such as providers, nurses, etc.
      •Logs, tracks, and resolves issues within specific timeframe to ensure accuracy and timeliness of data entry.
      •Brings errors and/or issues to the attention of designee.
      •Navigates through multiple complex EMR screens and enters data.
      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