Day-Shift Medical Authorization Specialist

bannerhealth; Phoenix (AZ); On-site; USD 42,000 - 56,000; Full time

Job summary

Banner Health in Phoenix, AZ, is seeking an Administrative Services professional to obtain and process clinical information needed for professional and medical service authorization. You will respond to patient referrals and collaborate with insurance payors to pre-certify services based on the patient’s benefit plan.

The role requires strong problem-solving and multi-tasking abilities, with emphasis on accuracy, good communication, and the ability to work with a multidisciplinary team in a

Qualifications

• Must have effective verbal and written communication skills.
• Proficient with commonly used office software.

Responsibilities

• Responds to patient referrals for tests, procedures and visits; handles authorizations required by payors and verifies patient information.
• Re-certifies services when necessary and communicates authorization numbers to relevant staff.
• Authorizes and schedules appointments; answers questions about the authorization process for physicians, patients and payers.
• Maintains records of all referral activity and authorizations; supports cross-coverage as needed.
• Works with patients and staff to resolve eligibility issues and denials and appeals.

Skills

Verbal & written communication

MS Office proficiency

Education

High school diploma/GED

Tools

MS Office Suite

Job description

Banner Health in Phoenix, AZ, is seeking an Administrative Services professional to obtain and process clinical information needed for professional and medical service authorization. You will respond to patient referrals and collaborate with insurance payors to pre-certify services based on the patient’s benefit plan.

The role requires strong problem-solving and multi-tasking abilities, with emphasis on accuracy, good communication, and the ability to work with a multidisciplinary team in a