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Banner Health Authorization Representative in Mesa, Arizona

Primary City/State:

Mesa, Arizona

Department Name:

Banner Staffing Services-AZ

Work Shift:

Day

Job Category:

Administrative Services

A rewarding career that fits your life. Banner Staffing Services offers a world of opportunities to make an impact on one of the country’s leading health systems. If you’re looking to leverage your abilities – you belong at Banner Staffing Services.

The Authorization team services both Banner and Community providers. Specializing in obtaining outpatient radiology authorizations for services performed at Banner Imaging sites. Full or Part time, any hours Monday - Saturday 6AM - 6:30PM. Training will be at the Banner Corporate office in Mesa for the first 90 days, then working remotely will be an option.

Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions offer flexibility in scheduling and are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health.

As a valued and respected Banner Health team member, you will enjoy:

  • Competitive wages

  • Paid orientation

  • Flexible Schedules (select positions)

  • Fewer Shifts Cancelled

  • Weekly pay

  • 403(b) Pre-tax retirement

  • Employee Assistance Program

  • Employee wellness program

  • Discount Entertainment tickets

  • Restaurant/Shopping discounts

  • Auto Purchase Plan

Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered . Registry/Per Diem positions require a minimum of 4 shifts a month commitment. Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes; employment, criminal and education) is required.

POSITION SUMMARY

This position is responsible for obtaining and processing all pertinent clinical information needed for the authorization of professional and medical services. The position responds to patient referrals and works insurance companies to pre-certify services based on the patient’s benefit plan.

CORE FUNCTIONS

  1. Responds to patient referrals for tests, procedures, and specialty visits. Obtains authorizations required by various payors; including verification of patient demographic information, codes, dates of service, and clinical data. Re-certifies services when necessary.

  2. Authorizes and schedules appointments. Answers questions regarding the authorization process and supplies information to physicians, patients, and third party payers. May, depending on department/location, inform patients about necessary preparation for procedure or test.

  3. Provides necessary information regarding authorization numbers and patient demographic information to appropriate staff, including billing. Provides information about the referral process to physician and staff and informs them of eligibility issues. Works with staff and patients regarding denials and appeals.

  4. Documents and maintains records of all referral activity and authorizations.

  5. Performs other related duties as assigned. This may include cross-coverage in other areas.

  6. This position has frequent communications with patients, physicians, staff, and third party payers. The position must work with and understand the concepts of managed health care and be able to prioritize tasks within established guidelines with moderate supervision.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Must possess effective verbal and written communication skills.

Must be proficient with commonly used office software.

PREFERRED QUALIFICATIONS

One or more years of experience normally gained in a medical office or insurance environment. Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD9 and CPT codes.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability

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