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CPAP Specialist
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Phoenix, AZ Phoenix, Arizona |
About this job
The future is full of possibilities. At Banner Health, we're excited about what the future holds for health care. That's why we're changing the industry to make the experience the best it can be. Our team has come together with the common goal: Make health care easier, so life can be better. The future of health care starts here. If you're ready to change lives, we want to hear from you. Apply today
Banner Home Medical Equipment is one of the top 5 providers in Maricopa County, AZ, and expanding into the Tucson market in March of 2018. The services we provide are Respiratory services, Sleep services, Ventilation services, Photo therapy, Negative Wound Pressure therapy, Orthotic and Prosthetics, Durable Medical equipment, Enteral Nutrition, Ostomy, and wound care supplies. We service over 150,000 customers each year, and in 2018 expect that to double. We are accredited by The Compliance Company, and have always achieved a three year certifications for services. We are excited to announce the opening of our new clinic for Banner Home Medical Equipment in Tucson, AZ! Join a fast growing post-acute services agency in AZ!
As a Prior Authorization/Intake Coordinator, you will be working in a centralized call center team environment which is Located in Gilbert, AZ. This is an opportunity to explore career growth at Home Medical Equipment (HME) which is part of the Banner Post-Acute Services agency! You will act as a liaison between local patient care services, physicians, hospitals, third party payers, and other community agencies to provide quality patient care!
Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life
* --
About Banner Home Care and Hospice
Ranked in the top 25 percent of all home care agencies in the United States, Banner Home Care is the largest nonprofit, free-standing home care agency in Arizona. We provide intermittent health care for patients of all ages in the comfort of their home. Our home care team is experienced, compassionate and professional, and the results prove that Banner Home Care measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results.
About Banner Hospice
Banner Hospice have been providing comfort care for the past 10 years in the Phoenix Metro area. The goal is to support quality of life, honor the wishes of patients, maintain the dignity of the individual and support the family through their grieving process. Inpatient Home care is also available for respite care and symptom management. The Banner Hospice Team can provide comfort to the patient and family by alleviating symptoms, by providing meaningful help and by creating an environment to develop lasting final memories.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
* --
Job Summary
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.
Essential Functions
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.
Minimum Qualifications
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.
Preferred Qualifications
Previous experience in a healthcare setting preferred.
Additional related education and/or experience preferred.
Banner Home Medical Equipment is one of the top 5 providers in Maricopa County, AZ, and expanding into the Tucson market in March of 2018. The services we provide are Respiratory services, Sleep services, Ventilation services, Photo therapy, Negative Wound Pressure therapy, Orthotic and Prosthetics, Durable Medical equipment, Enteral Nutrition, Ostomy, and wound care supplies. We service over 150,000 customers each year, and in 2018 expect that to double. We are accredited by The Compliance Company, and have always achieved a three year certifications for services. We are excited to announce the opening of our new clinic for Banner Home Medical Equipment in Tucson, AZ! Join a fast growing post-acute services agency in AZ!
As a Prior Authorization/Intake Coordinator, you will be working in a centralized call center team environment which is Located in Gilbert, AZ. This is an opportunity to explore career growth at Home Medical Equipment (HME) which is part of the Banner Post-Acute Services agency! You will act as a liaison between local patient care services, physicians, hospitals, third party payers, and other community agencies to provide quality patient care!
Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life
* --
About Banner Home Care and Hospice
Ranked in the top 25 percent of all home care agencies in the United States, Banner Home Care is the largest nonprofit, free-standing home care agency in Arizona. We provide intermittent health care for patients of all ages in the comfort of their home. Our home care team is experienced, compassionate and professional, and the results prove that Banner Home Care measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results.
About Banner Hospice
Banner Hospice have been providing comfort care for the past 10 years in the Phoenix Metro area. The goal is to support quality of life, honor the wishes of patients, maintain the dignity of the individual and support the family through their grieving process. Inpatient Home care is also available for respite care and symptom management. The Banner Hospice Team can provide comfort to the patient and family by alleviating symptoms, by providing meaningful help and by creating an environment to develop lasting final memories.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
* --
Job Summary
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.
Essential Functions
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.
Minimum Qualifications
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.
Preferred Qualifications
Previous experience in a healthcare setting preferred.
Additional related education and/or experience preferred.