Banner Health Health Plan Referral Coordinator in Tucson, Arizona
The future is full of possibilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. Our team has come together with the common goal: Make health care easier, so life can be better. The future of health care starts here. If you’re ready to change lives, we want to hear from you. Apply today.
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About University Physicians Health Plans
The University of Arizona Health Plans (UAHP) manage a variety of health plans. Our mission is to advance health and wellness through education, research and patient care.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
The purpose of this position is to coordinate the referral process in accordance with benefit guidelines and criteria.
Reviews all referrals for eligibility, expiration date, accuracy and completeness
Tracks and manages all referrals by entering them into the computer system.
Acts as a liaison between patients, providers and staff members to direct appropriate cases to the Utilization Management staff.
Works cooperatively with both internal and external customers in assisting members and providers with referral related issues.
Participates in Prior Authorization phone queue as part of daily assignment, in addition to departmental break, lunch and PTO coverage.
High school diploma/GED or equivalent working knowledge.
Experience typically gained through two years experience in a medical office or clinical environment.
Must have knowledge of durable medical equipment. Must possess the ability to communicate sufficiently to perform duties in a manner consistent with departmental scope of services and standards. Basic knowledge of medical terminology, computer literacy and keyboarding skills are required. Knowledge of HMO systems and experience working with the medical referral process required.
Additional related education and/or experience preferred.
Job Number 216581
Facility University Physicians Health Plans
Department University Physicians Health Plans - HP Statewide Prior Auth
Position Type FT: Full-Time
Street Address 2701 E. Elvira Rd.
City & State US-AZ-Tucson
Posting Category Administrative / Clerical