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Authorization & Referral Coordinator

OrthoArizona

Chandler, AZ | Full Time

$39k-48k (estimate)

2 Months Ago

Authorization & Referral Coordinator

OrthoArizona Chandler, AZ

$39k-48k (estimate)

Full Time | Ambulatory Healthcare Services 2 Months Ago

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OrthoArizona is Hiring an Authorization & Referral Coordinator Near Chandler, AZ

Authorization and Referral Coordinator

About OrthoArizona:

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers. Our mission is to provide excellent, compassionate care to our patients, their families, and visitors.

As an Authorization and Referral Coordinator with OrthoArizona, you will get to:

Answer phone in prompt, courteous and helpful manner, screening, and routing calls as needed.
Creates phone notes in the patient's electronic medical record, and/or provides information to patients.
Register patients in EMR as applicable.
Confirm patient demographics and paperwork for accuracy, completion, and missing information.
Verify insurance eligibility and benefits in accordance with patient insurance coverage for all patient office encounters and referral orders.
Ensure proper clinical chart documentation is present for all patient office encounters and for all referral orders.
Obtain prior authorization and/or referrals in accordance with patient insurance coverage for all patient office encounters and referral orders prior to services being rendered.
Accurately calculate any estimated patient out of pocket costs for services, communicate all out-of-pocket costs to patient, and collect prior to services being rendered.
Document the authorization status properly in all applicable areas of EMR.
Build accurate Case Management in EMR and attach appropriate CM as indicated.
Notify all applicable staff as to status/completion of above processes.
Courteously interact with patients, family members, visitors, and members of the health care team; directs patient questions and/or concerns to appropriate department; keeps patients informed of authorization/referral status.
Schedule patients for follow-up office visits or procedures, log no-show appointments; assist in indexing all document management images as indicated.
Maintain medical records in accordance with practice policies and procedures.
All other duties as assigned.

Qualifications:

Excellent customer / patient service.
Knowledge of medical terminology.
Working knowledge of computer programs.
Excellent written and verbal communication skills.
Understand/Perform training on practice management software.
Ability to promote favorable facility image with physicians, patients, insurance companies, and general public.
Ability to communicate effectively on the telephone.
Ability to make decisions and solve problems.
Working knowledge of health insurance plans including reading plan requirements.
Follow all Standard Operating Procedures.

Minimum Qualifications:

High School diploma or GED.
3 - 5 years medical front office, billing, or other administrative experience; and
Proficiency in authorizations, eligibility, and benefits in a medical office setting.

Preferred Qualifications:

More than 3 years of direct experience and proficiency in authorizations, eligibility, and benefits in a medical office setting.
Bilingual is a plus.

Full Time Benefits:

Robust paid time off package including, sick time, holidays, & paid time off!
Medical - including a plan with 100% employer coverage- a $585 monthly value.
Health Savings account company contributions.
Dental & Vision insurance.
Company paid life insurance policy the option to purchase additional benefits to protect you from what life throws at you.
401(k) with a company contribution profit sharing!
Pet insurance.
ID Theft protection & Legal assistance.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$39k-48k (estimate)

POST DATE

03/11/2024

EXPIRATION DATE

05/02/2024

WEBSITE

orthoarizona.org

HEADQUARTERS

SCOTTSDALE, AZ

SIZE

200 - 500

FOUNDED

2010

CEO

BRAD R BRUNS MD

REVENUE

$5M - $10M

INDUSTRY

Ambulatory Healthcare Services

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About OrthoArizona

OrthoArizona includes more than 70 premier orthopedic specialists. Our physicians specialize in diverse areas of orthopedic care including sports medicine, joint replacement, spine treatment, hand surgery, foot and ankle care, workers compensation and trauma care. Formerly known as OSNA, OrthoArizona has more than 30 offices throughout the Valley that focus on top care, compassion and exceptional customer service.