Referral Specialist II-DHMG AZ
US-AZ-PHOENIX
commonspirit_careers
Req #: 463599
Type: Day
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Overview: Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic, research and leadership roles. DHMG is also heavily involved in preparing tomorrow's healthcare providers. DHMG has 84 medical school students and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to augment medical education for residents and students. The mission of Dignity Health Medical Group is consistent with Dignity Health's mission and St. Joseph's guiding principles with a focus on innovative clinical care and the pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system, DHMG has full access to the staff and all facilities on our hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide its patients with state-of-the-art patient services including care of the poor and disenfranchised. Look for us on Facebook and follow us on Twitter. For the health of our community ... we are proud to announce that we are a tobacco-free campus Responsibilities: As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes. Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services. To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients. * Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with patients, insurance carriers and various internal departments * Completes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments, and notifying patients of progress. * Completes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments and notifying patients of progress * Provides backup support for medical practice duties as required * Assist with clinic phones as needed, displaying courtesy and professionalism at all times. Phones are answered within 3 rings and appropriate greeting is given including greeting, department name, your name and offer to assist. * Greet patients, check patients in/out, collect co-pays, explain intake forms and ensure they are completed correctly upon patient submitting Qualifications: Required * High School GED /High School Diploma and * Minimum of two (2) years experience in Medical Office or other healthcare environment, upon hire
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