Primary City/State:

Glendale, Arizona

Department Name:

C/P-Neurosurgery-Clinic

Work Shift:

Day

Job Category:

Administrative Services

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. If you’re ready to change lives, we want to hear from you.

We are expanding! Opening in April 2025, Banner - University Medicine Neurosciences Clinic will be located in Glendale, AZ on the Banner Thunderbird Medical Center campus. Our providers and staff will be providing the most advanced care for conditions impacting the brain. Our expert neurologists are improving care and research for many conditions including stroke, epilepsy, multiple sclerosis and brain injury. Our skilled neurosurgeons provide cutting edge therapies for complex conditions such as brain aneurysms, epilepsy, spinal disorders and many other conditions

As an Authorization Representative for our new clinic, you will obtain authorization for all imaging orders and work collaboratively with the imaging department and facilities to schedule patient appropriately. You will be part of a team that ensures clean claims and excellent customer service, to our patients, and external customers, to meet and exceed organizational initiatives, and clinic level, key performance indicators. You will have the opportunity to learn and grow professionally at a brand new facility, while making a positive difference in the lives of patients.

This is a full time day shift position working Monday through Friday. Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.​

University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics and has operations in multiple locations spanning across the Phoenix metropolitan city.

POSITION SUMMARY
This position is responsible for obtaining and processing all pertinent clinical information needed for the authorization of professional and medical services. The position responds to patient referrals and works insurance companies to pre-certify services based on the patient’s benefit plan.

CORE FUNCTIONS
1. Responds to patient referrals for tests, procedures, and specialty visits. Obtains authorizations required by various payors; including verification of patient demographic information, codes, dates of service, and clinical data. Re-certifies services when necessary.

2. Authorizes and schedules appointments. Answers questions regarding the authorization process and supplies information to physicians, patients, and third party payers. May, depending on department/location, inform patients about necessary preparation for procedure or test.

3. Provides necessary information regarding authorization numbers and patient demographic information to appropriate staff, including billing. Provides information about the referral process to physician and staff and informs them of eligibility issues. Works with staff and patients regarding denials and appeals.

4. Documents and maintains records of all referral activity and authorizations.

5. Performs other related duties as assigned. This may include cross-coverage in other areas.

6. This position has frequent communications with patients, physicians, staff, and third party payers. The position must work with and understand the concepts of managed health care and be able to prioritize tasks within established guidelines with moderate supervision.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Must possess effective verbal and written communication skills.

Must be proficient with commonly used office software.

PREFERRED QUALIFICATIONS

One or more years of experience normally gained in a medical office or insurance environment. Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD9 and CPT codes.

Additional related education and/or experience preferred.

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy