Coordinator II Customer Navigation

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Mon-Fri hours vary

Great care starts with great people. (Like you.)

At HonorHealth youll find something special. From humble beginnings in 1927 to one of Arizonas largest nonprofit healthcare systems our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

• Demonstrates high level knowledge of insurance requirements for referral authorization and care coordination Consistent coverage verification for patient appointments including specialty referrals to HonorHealth Medical Group PSAs ACOs and aligned specialists in our network. Gather appropriate clinical documentation to support the referral authorization and subsequent specialty appointment current on all knowledge base articles and workflow changes posted in Teams ChannelsDocument both ordering and receiving provider by name and location within Referral Management System and EPIC so patient journey can be properly monitored data reporting can we accurate and any gaps identified and utilize provider scoring for quality access to care location insurance compatibility when sending referrals to specialists. Make the best fit recommendation when not otherwise indicated by ordering any issues with provider data in Referral Management System or EPIC platforms so provider data can be quickly any care availability or customer service issues with provider offices to Supervisor for follow up.
• Utilize internal and external resources to seek knowledge about insurance proactive messages to both patient and ordering/ receiving providers about referral processing productivity metrics and quality KPIs on a daily/ weekly basis.
• Performs other duties as assigned.

• Associates Degree or medical assistant certification - Preferred
• High School Diploma or GED - Required

• 2 years of call center experience - Required
• Other Typing a minimum of 45 words per minute (WPM) - Required
• Other Basic knowledge of insurance plans and requirementsKnowledge of physician specialties and hospital services offeredKnowledge of medical terminology - Required
• Other Bilingual in Spanish (conversation) - Preferred

• Successful completion of competency module (Level 2) upon hire - Required

Were all in for your career.