What are the responsibilities and job description for the Insurance Auth/Referral Coord - FT Days position at Valley View Medical Center?
Who We Are:
People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Valley View Medical Center is a state-of-the-art hospital, licensed with 52 medical/surgical beds, 16 emergency department beds, 12 acute rehabilitation beds, 12 intensive care beds, 6 major operating rooms and 2 endoscopy suites plus a modern cardiac catheterization and 8 delivery & post-partum unit with all private bed hospital in the area.
Where We Are:
The Tri-State area has sunshine almost every day of the year. The beautiful clear skies, breathtaking sunsets on mountains to the east and west of us, and a mixture of the Great Outdoors along Arizona’s West Coast (the Colorado River) plus bountiful indoor activities provide something to do for everyone of any age.
Why Choose Us:
- Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
- Competitive Paid Time Off / Extended Illness Bank package for full-time employees
- Employee Assistance Program – mental, physical, and financial wellness assistance
- Tuition Reimbursement/Assistance for qualified applicants
- Professional Development and Growth Opportunities
- And much more…
Position Summary: The referral coordinator is responsible for coordinating outpatient testing and specialist referrals, and for verifying the corresponding benefits. The referral coordinator works with patients, insurance carriers, and physician offices in a professional and courteous manner. The referral coordinator is responsible for maintaining a well-organized work station and documenting benefits, appointments, and orders in the practice management and electronic medical records systems.
Verifies benefits via telephone or internet
Contacts the patient to advise of benefits
Documents benefits in practice management system
Scans benefits into electronic medical record (EMR) system
Schedules appointments to specialist for patient
Follows up as needed with insurance company to ensure that prior authorization is obtained if needed
Coordinates precertification on major outpatient procedures including CT and MRI
Calls insurance company
Documents in practice management system
Documents in EMR
Coordinates referrals to other physician offices and physical therapists
Receives message in EMR requesting referral
Advises patient of appointment time and place
Faxes records to physician office
Coordinates orders for outpatient testing
Addresses questions from patients via telephone and in person related to outpatient appointments and procedures
Completes any other practice-related projects as assigned and communicated by management
Other duties or task may be requested or assigned by immediate supervisor, his/her designee, or other management/supervisor.
To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.
Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. This position description does not restrict the right of management to assign or reassign duties and responsibilities with and without notice.
Minimum Education
X High school diploma or equivalent - Required
Required Skills
Exceptional verbal communication skills
Ability to work with interruptions and manage multiple priorities
Knowledge of medical terminology, referral policies/procedures, and health insurance plans (including ICD-10 and CPT codes)
Attention to detail
Strong computer skills and ability to use office equipment such as photocopier, fax machine, and multi-line phone system
Legible handwriting
Professional, tactful, team-oriented, independent
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
