As part of our continued commitment to providing a safe and healthy workplace, Phoenix Children’s is officially a mandatory COVID-19 vaccination organization, effective October 1, 2021. All new employees must be fully vaccinated prior to starting employment at Phoenix Children’s. Having a vaccinated workforce is an important step in supporting our mission to provide hope, healing and the best healthcare for the children in our community.

Position Details

Department: PCP | PCP Administration
Category: Accounting & Finance
Location: Gilbert
Posting #: 667426
Date Posted: 11/1/2022
Employee Type: Regular

Position Summary

The Referral Coordinator processes all outgoing and incoming referrals for a PCP office with some specialty areas. Responsibilities include securing and tracking prior authorizations and assisting 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.
    • 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?
1. High school diploma or equivalent. Required
Do you meet this requirement?
1. One year experience in an office environment and/or customer service Required
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. Familiarity with computers. Required
2. Proficient in Microsoft Excel, Word, and Outlook. Required
3. Bilingual in Spanish. Preferred
4. Detail oriented. Preferred
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
2. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Frequently
3. Physical Requirement - Hearing Constantly
4. Physical Requirement - Pushing/pulling Occasionally
5. Physical Requirement - Reaching Frequently
6. Physical Requirement - Sitting Frequently
7. Physical Requirement - Standing Frequently
8. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
9. Physical Requirement - Talking Constantly
10. Physical Requirement - Walking Frequently
11. Physical Requirement - Near Vision Frequently
12. Physical Requirement - Far Vision Frequently
13. Physical Requirement - Color Discrimination Occasionally
14. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
15. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
16. Occupational Exposure/Risk Potential - Inside office environment Applicable
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply