Referral Coordinator - Patient Access & Insurance Support

Abrazo Health; Scottsdale (AZ); On-site; USD 36,000 - 48,000; Full time

Job summary

Abrazo Health in Scottsdale is seeking a non-exempt medical office professional responsible for managing referrals for its Arizona Sports Medicine Clinic. The role involves coordinating office visits, obtaining pre-authorizations, and assisting patients with insurance resources.

The position emphasizes adherence to HIPAA, corporate compliance, and effective communication with referring providers and payers. Join a team dedicated to streamlined patient care in a high-volume clinic.

Qualifications

• High school diploma/GED or equivalent working knowledge.
• One year direct patient experience in a medical insurance or healthcare related industry.

Responsibilities

• Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
• Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
• Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
• Process patient referrals for the practices in the market
• Facilitates orders outside to outside facilities.
• Coordinate scheduling of office visits for the referred patient
• Assist patient with finding resources that accept the various insurances
• Obtains pre-authorization from payers.Calls insurance companies to get medications approved that may have been denied due to formulary changes.
• Logs in daily to system to check status of patient not mapped correctly and updates patient charts
• Set up referring providers, payers and chart mergers in the Electronic System.

Job description

Abrazo Health in Scottsdale is seeking a non-exempt medical office professional responsible for managing referrals for its Arizona Sports Medicine Clinic. The role involves coordinating office visits, obtaining pre-authorizations, and assisting patients with insurance resources.

The position emphasizes adherence to HIPAA, corporate compliance, and effective communication with referring providers and payers. Join a team dedicated to streamlined patient care in a high-volume clinic.