Job Description

Authorization and Referral Coordinator
 
About OrthoArizona:
At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists. 
 
Today we are one of Arizona’s largest privately owned and most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, in addition to 2 ambulatory surgical centers and in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our employees. 
 
As an Authorization and Referral Coordinator with OrthoArizona, you will get to: 
  • Answer phone in prompt, courteous and helpful manner, screening, and routing calls as needed. 
  • Creates phone notes in the patient's electronic medical record, and/or provides information to patients. 
  • Register patients in EMR as applicable. 
  • Confirm patient demographics and paperwork for accuracy, completion, and missing information. 
  • Verify insurance eligibility and benefits in accordance with patient insurance coverage for all patient office encounters and referral orders. 
  • Ensure proper clinical chart documentation is present for all patient office encounters and for all referral orders. 
  • Obtain prior authorization and/or referrals in accordance with patient insurance coverage for all patient office encounters and referral orders prior to services being rendered. 
  • Accurately calculate any estimated patient out of pocket costs for services, communicate all out-of-pocket costs to patient, and collect prior to services being rendered. 
  • Document the authorization status properly in all applicable areas of EMR. 
  • Build accurate Case Management in EMR and attach appropriate CM as indicated. 
  • Notify all applicable staff as to status/completion of above processes. 
  • Courteously interact with patients, family members, visitors, and members of the health care team; directs patient questions and/or concerns to appropriate department; keeps patients informed of authorization/referral status.  
  • Schedule patients for follow-up office visits or procedures, log no-show appointments; assist in indexing all document management images as indicated. 
  • Maintain medical records in accordance with practice policies and procedures. 
  • All other duties as assigned. 
Qualifications: 
  • Excellent customer / patient service. 
  • Knowledge of medical terminology. 
  • Working knowledge of computer programs. 
  • Excellent written and verbal communication skills. 
  • Understand/Perform training on practice management software. 
  • Ability to promote favorable facility image with physicians, patients, insurance companies, and general public. 
  • Ability to communicate effectively on the telephone. 
  • Ability to make decisions and solve problems. 
  • Working knowledge of health insurance plans including reading plan requirements. 
  • Follow all Standard Operating Procedures. 
Minimum Qualifications: 
  • High School diploma or GED. 
  • Minimum of 2 years of experience in healthcare administration or related field. 
  • Strong organizational and communication skills. 
  • Ability to work independently and as part of a team. 
  • Knowledge of medical terminology and insurance authorization processes. 
  • Proficient in Microsoft Office and electronic medical record systems. 
  • Ability to maintain confidentiality and handle sensitive information.
Preferred Qualifications 
  • More than 3 years of direct experience and proficiency in authorizations, eligibility, and benefits in a medical office setting. 
  • Bilingual is a plus. 
Full Time Benefits: 
  • Robust paid time off package including, sick time, holidays, & paid time off! 
  • Medical - including a plan with 100% employer coverage- a $585 monthly value. 
  • Health Savings account company contributions. 
  • Dental & Vision insurance. 
  • Company paid life insurance policy the option to purchase additional benefits to protect you from what life throws at you. 
  • 401(k) with a company contribution profit sharing! 
  • Pet insurance. 
  • ID Theft protection & Legal assistance. 

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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