Referral Specialist Connection Center

Referral Specialist Anticoagulation

Yavapai Regional Medical Group, Prescott, Arizona

About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

Job Summary and Responsibilities

The Referral and Authorization Specialist II is responsible for ensuring patients have been authorized for specialty services and office visits; obtaining and issuing referrals for ancillary or consult visits; obtaining approval for all services needed. Acts as a liaison between the patient, provider/ referring provider, primary care provider, and other parties involved in the plan of care. Schedules and coordinates diagnostic testing and understands and communicates required preparation for diagnostic tests/ procedures. May act as escalation point for authorization denials. May additionally coordinate operating/procedure rooms, equipment, anesthesia, pre-op and imaging, authorizations and physician schedules for surgery.

• Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with patients, insurance carriers and various internal departments
• Completes the referral process for a patient's specialty referral needs. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments and notifying patients of progress
• Completes full registration in Cerner Revenue Cycle when registering new patients. Ensure all patient information is updated/ current when following up/ interacting with patients. Verify insurance eligibility and benefits as appropriate for proposed services and procedures.
• Use Cerner EMR systems according to policy & procedures, including patient registration, scheduling appointments, template oversight (as applicable), printing forms and schedules, and posting payments and charge reconciliation. Reports any systems issues timely, while effectively utilizing downtime procedures as needed.
• Ensures co-pays are collected via cash, check, or credit card transactions. Deposits/batches are prepared according to DHMG YRMG policies.
• Assist with connection center phone lines on an as needed basis, displaying courtesy & professionalism at all times. All phone calls are to be answered and appropriate greeting is given including greeting, department name, your name and offer to assist.

Job Requirements

Required

• High School Graduate or GED
• Minimum of two (2) years experience in a medical office or other healthcare environment
• Basic Computer skills, Excel, Outlook, windows based programs
• Basic Computer Hardware skills, setting up minimal workstations

Preferred

• Experience with Cerner Powerchart and Revenue Cycle EMR Applications
• Previous experience with referral processing and authorizations
• Certified Medical Assistant AAMA
• Certified Clinical Medical Assistant
• Bi-lingual

Where You'll Work

At Dignity Health, living our values means bringing passion into action every day. Dignity Health-Yavapai Regional Medical Center (opens in new window) (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your career.

What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers.

As you build your career at DH-YRMC, you'll find Prescott is an inspiring place to live, work, and enjoy the outdoors.

• It is an inviting community with bygone charm and modern amenities.
• Local residents enjoy four spectacular seasons, while the area offers nearly year-round sunshine for any outdoor adventures.
• The carefree, relaxed lifestyle offers short commute opportunities, so you can focus on your career and your family.

Dignity Health-Yavapai Regional Medical Center extends this feeling with a strong sense of family, security, and belonging. Our compassion and commitment to quality care have earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020), and America's 100 Best Hospitals for Stroke Care Awards (2020, 2021) and have placed us at the top of the charts in community and nationwide in healthcare. Come experience the incredible quality-of-life that Dignity Health-YRMC and Prescott have to offer! #hellohumankindness

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.