Coord Auth Verification- Revenue Cycle- Full Time, Day Shift
Company: Summit Healthcare External
Location: Show Low
Posted on: April 1, 2026
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Job Description:
The following information is designed to outline the functions
and position requirements of this job. It does not identify all
tasks that may be expected, nor address the performance standards
that must be maintained. Essential functions may change based on
organizational need. General Position Summary: Responsible for
verifying and updating patient demographics information, verifying
eligibility for medical procedures with patient’s insurance company
and using Summit Healthcare’s insurance verification tool for
insurance authorization and verification. Serves as a valuable
resource to patients by providing excellent customer service,
pertinent information regarding their coverage, and explaining
coverage amounts. Refers patients to Financial Counselor to arrange
payment for services that are not covered by insurance. Essential
Functions / Major Responsibilities: · Provides the highest level of
customer service standards. · Registers/pre-registers patients,
gathers detailed information from the patients chart for
coordination of care. · Verifies insurance benefits and
eligibility. · Obtains pre-certifications and referrals to other
providers and for procedures, services, or equipment. ·
Verifies/Notifies payors for procedures · Refers accounts to
financial counselor. · Collects patient portions of fees when
applicable. · Works Task List in Allscripts for all outpatients ·
Monitor stat orders and time sensitive accounts · Displays proper
etiquette and mannerisms that reflect the SHINE Behavior
Guidelines. · Promotes the Patient Safety Standards as a core value
of the organization In addition to Level 1 essential functions: ·
Works reports on a daily basis: CRC, One Content, Pre-Registration
with balances, accounts not discharged, denials · Assists Senior
Coordinator with assigned tasks · Provides direction guidance and
training to level 1 staff · Attends Denials Management Committee
meetings. · Assist with Change Health “Relay” Issue · Participates
in departmental and hospitalwide informational meetings and
inservices, including staff meetings, hospitalwide forums, and
seminars. · Reviews department and hospitalwide policies and
procedures annually. · Cross trains in two or more Patient
Registration areas: Outpatient, prior authorizations, ER,
centralized scheduling and/or Surgery. · Runs and works Relay
reports · Works Task List in Allscripts for all outpatients ·
Monitor stat orders and time sensitive accounts Additional /
Seasonal Responsibilities: · None. Job Scope: This job involves: ·
Routine work situations. · A mid-level of complexity. · Typical
operation from specific and definite directions and instructions. ·
Performance under supervision. Supervisory Responsibility: · None.
Interpersonal Contacts: · Are normally made with others both inside
and outside the hospital. · Are made with own department as well as
other departments or locations. · Frequently contain
confidential/sensitive information necessitating discretion at all
times. · Are made via telephone, e-mail, and face-to-face
interaction. · Are usually with patients and staff with some
physician contact. Specific Job Skills & Mental Activities: This
position requires operational knowledge of all equipment in the
Admitting areas, including: fax, printer, copy machine, phone
systems, scanners, and all computer programs required to retrieve
and input information. This employee must be service oriented and
have excellent customer service skills, computer skills,
organizational skills, multitasking skills, professional
interpersonal skills, time management skills, the ability to
prioritize work, and telephone etiquette. This employee must be
familiar with and abide by all HIPAA rules and regulations. This
employee must be able to function in a high stress area with
multiple priorities and multiple sources of request, with a fast
pace in decision making. This employee must also maintain a
professional demeanor in traumatic situations. Must be able to
read, write, speak, and understand English. This position requires
extensive amounts of time on the phone with insurance companies and
ability to work within time sensitive guidelines. Education and/or
Experience: · High school diploma or equivalent (required). · Basic
computer skills (required). · One year related experience
(preferred). · Medical terminology (preferred). · Two or more years
of experience as a Patient Registrar and/or Coordinator
Authorizations and Verifications I (required) · Cross trained in
two or more Patient Registration areas (required) · High performer
as evidenced by an evaluation score of 7.0 or higher and no
disciplinary actions in the last year. (required) · High school
diploma or equivalent (required). · Basic computer skills
(required). · Medical terminology (required). Physical Demands &
Job Conditions: Exerts up to 10 lbs. of force occasionally and/or a
negligible amount of force frequently or constantly to lift, carry,
push, pull, or otherwise move objects, including the human body.
Involves sitting most of the time, but may involve walking or
standing for brief periods of time. Worker is exposed to extensive
computer work. Physical motions include finger dexterity, standing,
walking, talking, reaching, feeling, sitting, bending, grasping,
listening/hearing, handling, lifting up to five pounds, and
repetitive motions of the hands, wrists, and feet. This is a safety
sensitive position. OSHA Exposure Category: Involves no regular
exposure to blood, body fluids, or tissues, and tasks that involve
exposure to blood, body fluids, or tissues and are not a condition
of employment.
Keywords: Summit Healthcare External, Prescott , Coord Auth Verification- Revenue Cycle- Full Time, Day Shift, Healthcare , Show Low, Arizona