Overview:
Looking to be part of something more meaningful? At Honor Health, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.
Honor Health offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.
Join us. Let’s go beyond expectations and transform healthcare together.
Honor Health is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 15,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, Honor Health strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at Honor Health.com.
The CNC II is a “Referral Coordinator” position. Ideal candidate will have MA experience and/or medical office/insurance/referral processing background. Requires at least 2 years of recent call center experience, preferably in a healthcare environment. EPIC EMR experience is a plus.
Initial 3-week training will be 8am-4:30pm, then flexible hours (8 hours per day) between 7am-5:30pm, Mon-Fri. Potential to eventually work remote, after fully trained into the role and successfully meeting productivity and quality expectations (typically 2 – 3 months).
Qualifications: Education
High School Diploma or GED Required
Experience
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 requirements
Knowledge of physician specialties and hospital services offered
Knowledge of medical terminology
Required
Licenses and Certifications
Successful completion of competency module (Level 2) upon hire Required
Responsibilities:
Job Summary
The primary contact for customers who contact the Customer Navigation Center. Primary role is to optimize care coordination, customer navigation, appointment scheduling and support in-network referrals, radiology authorizations and customer tech council initiatives.
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Handling of Inbound calls for scheduling, navigation, My Chart, medical questions, marketing leads, referral and authorization questions. Handling of Outbound calls for scheduling corrections, marketing leads, referrals (including outreach to obtain referrals from community providers), insurance benefit verification and authorizations, as well as any necessary Medical Group or Patient escalations, service recovery or follow-up.
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Support marketing campaigns and initiatives using omni-channel strategies including outbound calling, online chat, email management, and lead management. Document all customer activities in CRM system for marketing automation efforts.
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Demonstrates high level knowledge of insurance requirements for registration, referrals, and authorizations. Consistent coverage verification for patient appointments, including specialty referrals and radiology studies.
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Utilize internal and external resources to seek knowledge about insurance plans.
- Performs other duties as assigned.
Facility: Support Services Department: Customer Navigation Ctr Work Hours: 0800-1630 Mon-Fri or flexible Mon-Fri Shift: 01 - Days Position Type: Regular Full-Time