This position processes internal and external requests and referrals for patient placement, services, and equipment from a centralized call center. Serves as a liaison between local patient care services, equipment providers and physicians, clinics, hospitals, third party payers, and other community agencies to support appropriate patient care.
Handles incoming requests for patient placement, referrals for new orders and refills, and/or requests for services. Receives and verifies requests and referrals, initiates insurance verification and gathers all information necessary for pre-certifications, authorizations, and certificates of medical necessity. Ensures that each patient meets admission criteria. Provides on-going follow-up of requests up to, and following, patient discharge.
Builds referrals using information in patient medical record to provide minimum data necessary to coordinate patient services.
Provides verbal and written instructions to patients, families, and coordinating resources regarding provision of products and services, reimbursement and patient financial responsibility.
Performs data entry of patient intake information into computer system. Records insurance information and authorization requirements and notes in the computer systems.
Coordinates requested services and referrals with service and equipment providers, as appropriate. Coordinates with pharmacy warehouse and clinical staff to ensure product availability and sets delivery expectations between patients and providers.
Facilitates problem solving with patients, hospitals, providers, referral sources, insurance companies, and clinical staff. Assists in the maintenance and communication of changing payor and referral source information specific to coordination of patient needs.
High school diploma/GED or equivalent working knowledge. Requires literacy and basic math skills.
Must have a working knowledge of medical terminology and have familiarity with hospital operations. Must possess excellent organizational and interpersonal skills.
Must be proficient with commonly use office software products and possess the ability to learn new software applications.
Previous experience in a healthcare setting preferred.
Additional related education and/or experience preferred.
Internal Number: 214985
About Banner Health
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.