Phoenix, AZ, USA
13 days ago
Referral Specialist
Overview

Hello humankindness Located conveniently in the heart of Phoenix ArizonaSt. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social and support services. Founded in 1895 by the Sisters of Mercy St. Josephs was the first hospital in the Phoenix area. More than 125 years later St. Josephs remains dedicated to its mission of caring for the poor and underserved.We are extremely proud to be a nationally recognized center for quality quaternary care medical education and research. St. Josephs includes the internationally renowned Barrow Neurological Institute Norton Thoracic Institute Cancer Center at St. Josephs Ivy Brain Tumor Center and St. Josephs Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics neuro-rehabilitation orthopedics and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s.U.S News & World Report routinely ranks St. Josephs among the top hospitals in the United States for neurology and neurosurgery. In addition St. Josephs boasts the Creighton University School of Medicine at St. Josephs and a strategic alliance with Phoenix Childrens Hospital.St. Josephs is consistently named an outstanding place to work and one of Arizonas healthiest employers. Come grow your career with one of Arizonas Most Admired Companies.Look for us on Facebookand follow us on Twitter.For the health of our community ... we are proud to be a tobacco-free campus.


Responsibilities

Able to perform all duties of a Referral & Authorization Specialist I. In addition, schedules and coordinates tests and understands and communicates required preparation for tests. May act as escalation point for denials and other circumstances. May also enter charge entry data.

Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with patients, insurance carriers and various internal departmentsIdentifies appropriate formularies for patient medication management or vendors for durable medical equipment requests and receives insurance approvals for patientsCompletes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments and notifying patients of progressProvides backup support for medical practice duties as required

Dignity Health now offers an Education Benefit program for benefit-eligible employees.  This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, and adoption assistance.


Qualifications

MINIMUM

High School Diploma or GEDMinimum of two (2) years experience in Medical Office or other healthcare environmentDemonstrates excellent customer service skillsFamiliar with codingBasic Computer skills Excel Outlook windows based programs

PREFERRED

Familiarity with the referral/authorization process and interacting with insurance carriersBi-lingual skills
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