REFERRALS SPECIALIST MANAGED CARE FULL TIME SCOTTSDALE
June 29, 2018
Admin / Clerical
Job Summary Performs a variety of duties to obtain pre-certification and prior authorization for various procedures and referrals to specialists as determined by FMC physicians requiring customer service skills in with FMC physicians, patients, insurance companies, specialists' office staff and other facilities to obtain authorization for the further care of FMC patients in a timely manner from managed care companies and providing appropriate follow-up with the patient and specialist.
Provides documentation and appropriate information to obtain pre-certification and prior authorization for further care of FMC patients as requested by the FmC physicians in a timely manner. The requests and documentation are provided to managed care companies. Provides patient chart information to specialists as directed. Reorganizes processing as changes occur in insurance plans or in office procedure.
Communicates verbally and in writing using customer service skills with FMC physicians, patients, insurance companies, specialists' office staff and other facilities. Serves as resource to FMC physicians and staff regarding requirements for prior authorization and referrals.
Maintains referral tracking logs for status of each referral. Enters referral information into each patient's referral file in the computer.
Provides follow up with billing problems on the patient's encounter due to referrals including conducting research and letters of clarification.
Internal Number: 2018-10503
Let’s transform healthcare together.
Every day, we bring patients convenient, coordinated access to healthcare while providing meaningful service to our community.
Join us and you will:
Develop professionally and achieve your career goals
Enrich your life with a focus on wellness
Enjoy a compassionate, caring culture with outreach to our local communities
Support the well-being of you and your family with a diverse portfolio of benefits
Welcome to HonorHealth.
We are a non-profit, local healthcare organization known for community service and outstanding medical quality. Our organization encompasses five acute care hospitals with approximately 10,500 employees and 3,100 volunteers, urgent care centers, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.