Referral Coordinator I I Physician Network

Referral Coordinator II Physician Network

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HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 15,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.

• Serves as a specialist in processing and approving selected specialists referrals according to criteria and guidelines established by the Network in general and PN specifically.
  Obtains referral request documentation
  Demonstrates a high degree of accuracy and timeliness in completing referral authorizations/prior authorizations
  Compiles all pertinent medical data and supporting documentation and faxes or mails to appropriate receiver.
  Verifies eligibility, benefits and contractual appropriateness.
  Acts as liaison between practice, patients, referral sources, and health insurance companies to resolve complaints and problems.
  Serves as expert internal consultant to all levels of practice staff.
  Monitors and resolves the status of problem authorizations
  Identifies trends and makes recommendations for corrective actions and/or process improvements.
  
• Responsible for recording referral information on Referral Log in order to assist in the tracking of referral numbers and costs to assist in budgetary forecasting and to assure follow-up.
  
• Responsible for training and orientation of new Referral Coordinator's into practice.
  Trains new Referral Coordinator employees on correct policies and procedures as needed.
  
• Continually maintains Health Insurance Portability and Accountability Act (HIPAA) and other compliance requirements.
  Enters non-clinical information into patient electronic medical record (EMR system. Ensures all required information is keyed in thoroughly and accurately.
  Views non-clinical information in EMR system.
  Independently formulates information to be entered into EMR.
  Obtains information to be entered from multiple sources such as providers, nurses, etc.
  Logs, tracks, and resolves issues within specific timeframe to ensure accuracy and timeliness of data entry.
  Brings errors and/or issues to the attention of designee.
  Navigates through multiple complex EMR screens and enters data.
  Performs other duties as assigned.