Job Description

At OrthoArizona, we’re bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers. Our mission is to provide excellent, compassionate care to our patients, their families, and visitors.
As a Authorization & Referral Coordinator with OrthoArizona, you’ll get to:
  • Answers phone in prompt, courteous and helpful manner, screening, and routing calls as needed, creates phone note in the patient electronic medical record, and/or provides information to patients.
  • Registers patients in EMR as applicable
  • Confirms patient demographics and paperwork for accuracy, completions, and missing information
  • Verifies insurance eligibility and benefits in accordance with patient insurance coverage for all patient office encounters and referral orders.
  • Ensures proper clinical chart documentation present for all patient office encounters and for all Referral Orders
  • Obtains 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 calculates any estimated patient out of pocket costs for services, communicates all out-of-pocket costs to patient and collects prior to services being rendered
  • Documents the authorization status in proper manner in all applicable areas of EMR.
  • Builds accurate Case Management in EMR and attach appropriate CM as indicated
  • Notifies all applicable staff as to status/completion of above processes
  • Courteously interacts 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 auth/referral status. 
  • Schedules patients for follow-up office visits or procedures, logs no-show appointments; assist in indexing all Document Management images as indicated.
  • Maintains medical records in accordance with practice policies and procedures.
  • All other duties as assigned.
Your experience should include:
  • 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
  • 3 - 5 years medical front office, billing, or other administrative experience; and
    • Proficiency in authorizations, eligibility, and benefits in a medical office setting
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.
What we'll Provide to you:
  • Medical, 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!

Apply Online