Referrals Representative

3033 N. Central Ave Suite 145

Phoenix , AZ 85012

adelantehealthcare.com

Who Are We?

At Adelante Healthcare, we believe that healthy people create healthy communities. Our mission is to improve the health of our communities by providing the highest level of primary and preventive care, making it affordable for everyone. For over 40 years, we have been dedicated to serving our communities by providing healthcare to those most vulnerable by offering health care services at nine locations throughout Maricopa County. By joining the Adelante Healthcare team, you become part of a patient centered caring organization that is playing a vital role in helping our communities.

OUR AMAZING BENEFITS

We offer a culture that values caring, professional development, growth, and sustainability. We provide a comprehensive and competitive benefits program including:

· Medical, Dental, and Vision available DAY ONE!

· 3 weeks Paid Time Off annually

· 10 paid Holidays annually

· 403b Retirement Account Savings Plan

· Tuition Reimbursement for eligible programs

· Employer-paid Short Term and Long Term Disability

· And MORE

WHAT YOU'LL NEED TO HAVE

High School Diploma or GED from an accredited institution
One or more years of experience in the customer service field, as well as the following:

· Must have great phone etiquette

· Ability to communicate effectively with patients, co-workers, and the general public both in person and over the phone

· High school graduate or GED from an accredited institution

· 1-3 years of experience in a high-volume, interactive customer service or call center environment, with working knowledge of medical terminology or any combination of education and experience, which would provide an equivalent background

· Computerized database experience

· Accuracy and attentional to detail

· Office Suite experience, particularly Excel, Word, and Outlook

· Strong customer service skills

· Strong written communication skills

· Ability to prioritize and perform multiple tasks simultaneously

· Ability to work cooperatively with others in a multi-cultural environment

· Ability to understand and carry out complex oral and written instructions

· Ability to perform a variety of assignments requiring some exercise of independent judgment

WHAT YOU'LL BE DOING DAY TO DAY

· Initiates and manages clinical referrals for pre-authorization

· Acts as a liaison between health plans, physicians, patients and other referral sources

· Obtains authorization on for admissions as required by health plans

· Reviews referrals for completeness and follows up for additional information if necessary

· Process an average of 35 referrals daily

· Responds to inbound calls initiating exam requests following established processes, meets quality and production standards

· Contacts physician offices as needed to obtain demographic information or related data

· Enters referrals, documents communications and actions in system

· Enters patient insurance authorizations and any pertinent information from insurance company into the patient account history

· Manages denials or potential denials as described by insurer

· Monitors and reviews applicable schedule to ensure that authorization and initial length of stay is obtained and on file

· Responsibilities may vary over time. Required to perform other duties as required for the efficiency and effectiveness of the department and job role

· Ensure patient needs and requests are handled efficiently by performing telephonic patient scheduling

· Schedule patient initial and follow up appointments ensuring efficient use of provider time and the appropriate care for patients

· Perform patient pre-registration including accessing and updating patient information as indicated

· Maintain schedule accuracy for maximum patient flow

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DetailsCreated:June 7, 2021Views:365Candidates:78 total

Budget
Job Budget:

Job Type: Full-time

Pay: From $17.00 per hour

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

Education:

• High school or equivalent (Preferred)

Experience:

• Call center: 1 year (Preferred)
• Customer service: 1 year (Preferred)
• Medical Referrals: 1 year (Preferred)

Work Location: In person