What are the responsibilities and job description for the Referral Specialist II position at CommonSpirit Health?
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
Position Summary:
The Referral and Authorization Specialist is responsible for ensuring patients have been cleared for specialty service office visits; obtaining and issuing referrals for ancillary consult radiology or lab visits; receiving approvals for medication formularies durable medical equipment home health care and other items or services as needed. 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.
Qualifications
MINIMUM
- Minimum of two (2) years experience in Medical Office or other healthcare environment
- High School Diploma/G.E.D.
- Basic Computer skills Excel Outlook windows based programs
- Demonstrates excellent customer service skills
- Familiar with coding
PREFERRED
- Bilingual skills
- Familiarity with the referral/authorization process and interacting with insurance carriers
