Job Description

Facility: Valleywise Health Medical Center

Department: Radiology Support Services - Roosevelt

Schedule: Regular FT 40 Hours Per Week

Shifts: Days

Under the direction of the designated Supervisor/Manager, this position is responsible for leading prior authorization for incoming and internal referrals to Medical Imaging. This position works collaboratively with staff to prioritize and organize schedules and to triage patient and scheduling concerns. The Patient Referral Specialist Sr. will mentor support staff assigned to include coordination of patient scheduling and prior authorization. In addition, this position provides leadership in the management of department operations and major projects.
 
Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as:
  • Medical, Dental, and Vision Plans
  • Flexible Spending Accounts
  • 100% Retirement Match in the Arizona State Retirement System (ASRS)
  • Paid Time Off and Paid Holidays
  • Sick and Extended Illness Bank
  • Tuition Reimbursement Programs
  • And much more!     
Hourly Pay Rate: $18.24 - $26.90
 
Qualifications
Education:
  • Requires a high school diploma or GED certificate.
  • Prefer an associate degree in business administration, Health Care Administration, or a related field.
Experience:
  • Must have a minimum of five (5) years of working directly with insurance providers or with patient referral processing-related experience that demonstrates an understanding of the required knowledge, skills, and abilities.
  • Prefer experience in medical imaging.
  • Prior healthcare or clinic patient registration and/or scheduling experience is a plus.
Knowledge, Skills, and Abilities:
  • Requires the ability to read, write, and speak effectively in English.
  • Must have a working knowledge of Excel and Word.
  • Must have the ability to handle multiple complex projects.
  • Excellent written and verbal communication, time management, mentoring, and leadership skills are required.
  • Must have the ability to demonstrate competency in all aspects of authorization and precertification rules and regulations for all payers to direct, plan, schedule, and organize work.
  • Must be able to communicate and relate with patients and all hospital staff.
  • Requires the ability to work independently on established policies and procedures within the department.
  • Must have knowledge of Arizona Medicaid Programs, Medicare, AHCCCS, and other government programs.
  • Requires organizational, general math, and training skills.
  • Requires good patient service skills, interpersonal ability and demonstrated leadership skills to regularly interact with staff and leadership.
  • Must possess good interpersonal and communication skills both verbally and in writing, including knowledge of basic grammar, spelling, and punctuation.
  • Critical thinking and problem-solving skills are strongly preferred.

Application Instructions

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