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Position Details

Department: PCMG Access Schedulers
Category: Patient Access
Location: Phoenix
Posting #: 470719
Date Posted: 9/9/2019
Employee Type: Regular

Position Summary

This position processes all outgoing and incoming referrals for PCP office with some specialty areas. It secures and tracks prior authorizations and assists with inpatient referrals and authorizations on occasion.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Processes Referrals to specialty areas for PCP physicians or consulting physicians.
    • Processes Referrals to specialty areas for PCP physicians or consulting physicians.
    • Processes Referrals to specialty areas for PCP physicians or consulting physicians.
    • Contacts insurance companies for authorization of procedures and specialty appointments. Calls specialty offices to coordinate appointments. Completes referrals on paper or electronically. Faxes referrals to specialty areas. Reviews referrals for accuracy
    • and ensure ICD-9 codes, signatures, dates and times are on forms.
  2. Telephone Calls
    • Answers incoming phone calls regarding questions about referrals. Calls patients to advise their referral is complete. Coordinates any tasks by telephone or in person.
  3. Tracks authorizations
    • Completes authorization requests and sends to insurance company. Communicates with insurance company regarding authorizations and quick processing.
  4. Performs miscellaneous job related duties as requested.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
Education
1. High school diploma or equivalent. Required
Do you meet this requirement?
Experience
1. One year experience in office environment. Preferred
2. One year experience with referrals and/or prior authorization. Preferred
3. Exposure to AZ insurance companies, particularly state insurance programs. Preferred
Do you meet this requirement?
Special Skills
1. Computer literate. Required
2. Proficient in Excel, Word, Microsoft Outlook. Required
3. Spanish speaking. Preferred
4. Detail oriented. Preferred
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Frequently
4. Physical Requirement - Hearing Frequently
5. Physical Requirement - Pushing/pulling Occasionally
6. Physical Requirement - Reaching Occasionally
7. Physical Requirement - Sitting Constantly
8. Physical Requirement - Standing Occasionally
9. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
10. Physical Requirement - Talking Frequently
11. Physical Requirement - Tasting/smelling Occasionally
12. Physical Requirement - Walking Occasionally
13. Physical Requirement - Near Vision Constantly
14. Physical Requirement - Far Vision Occasionally
15. Physical Requirement - Color Discrimination Occasionally
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
17. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
18. Physical Requirement - Lift more than 35 pounds without assistance Occasionally
19. Occupational Exposure/Risk Potential - Inside office environment Applicable
20. Occupational Exposure/Risk Potential - Outdoor weather conditions Applicable
21. Occupational Exposure/Risk Potential - Airborne communicable diseases Applicable
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply