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No Weekends** Onsite***Medical Referral Coordinator

Phoenix, AZ

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Description

Onsite- Temp to Perm 

No Weekends !!!

Schedule: Mon-Thurs  7AM to 6PM (off Fri, Sat & Sun)

Dress Code: Business casual

Medical Practice Northwest Valley

Job Description:

  • Managing incoming calls or incoming post services claims work.
  • Obtains and inputs pre-authorization insurance and demographic information into the appropriate medical/scheduling system. Verifies patient benefits and eligibility prior to completing referral
  • Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient pre-certification, prior authorization, and post service requests.
  • Responsible for the identification and data entry of referral requests into the system in accordance with the plan certificate.
  • Responds to telephone and written inquiries from clients, providers and in-house departments.
  • Conducts clinical screening process.
  • Checks benefits for facility-based treatment.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Job Requirements

Essential:

  • HSD or GED Required
  • Customer Service Exp., 1 year
  • Medical Office Experience, 1 year
  • Referral Processing is a plus
  • Rheumatology experience is a plus
  • NextGen software

Desirable

  • Payment posting in a large healthcare practice, 2 years.
  • Associates’ degree or advanced education specific to accounting.

Pre-Screening:

  • DrugTest – 9 panel
  • Background Required – 7 year w/enhanced nationwide

V

 For immediate consideration please email resume to Jenna.Olachea@remx.com.

 

 

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