If you are seeking to join a stable and established organization with high employee and patient satisfaction ratings, then Tri-City Cardiology is for you! Tri-City Cardiology has been serving the healthcare needs of the East Valley for over 40 years.

We are searching for an Authorization Specialist II to join our dynamic team! If you enjoy working in a fast-paced environment for a company that truly cares about the service provided to their patients and putting quality care first, this may be an ideal position for you!

Tri-City Cardiology has a vision “To be among the best providers of cardiovascular care in the entire country and be a place where employees want to work, patients want to receive care and physicians want to practice.”

Consistent with our vision, we constantly strive to improve our employee satisfaction. Tri-City Cardiology has been voted a Top Place to Work by the Phoenix Business Journal. Annual employee satisfaction surveys are conducted to obtain feedback on how we can continue to make Tri-City Cardiology the best place to work.

• Position Location: East Mesa/Admin Office (Power & Main)
• Schedule: 8:00 a.m. - 5:00 p.m.
• Pay: $15.80 - $20.60

POSITION SUMMARY

This position provides daily support for the financial services of our patients. Incumbents perform daily verification of patient financial information, call patients for notification of out-of-pocket (up-front cash) obligations based upon information provided by the verification process prior to check-in for the visit.

ESSENTIAL FUNCTIONS:

• Verifies patient eligibility with insurance companies and third party vendors.
• Obtains authorizations (MedSolutions, Navinet, AIM, etc.) for office visits, testing, cardiac rehabilitation, and any other outside facility procedure requiring authorizations and/or referral in a timely manner.
• Answers all incoming calls, updating demographic and insurance information.
• Explains TCC’s financial policy to patients and discusses financial responsibilities including co-pays, coinsurances, deductibles and time of service payments. Documents all conversations to assist front office with collections.
• Assists other departments with adding correct insurance information into patient charts.
• Ensures physician documentation supports payer requirements for authorization processing.
• Ensures follow through on peer-to-peer requests. Creates appeal letters when necessary.
• Schedules PET and Nuclear appointments after reviewing financial responsibilities with patient.

Note: The essential functions outlined in this job description are intended to describe the general content and requirements of the position. They are not intended to be an exhaustive statement of all duties, responsibilities or qualifications associated with the position.

MINIMUM QUALIFICATIONS

• High school diploma or GED.
• 40 wpm typing
• Demonstrated knowledge of ICD and CPT codes, billing practices and policies/procedures.
• Knowledge of basic computer and math skills.
• Demonstrated critical thinking ability in order to resolve problems and carry out instructions.
• Ability to multi task.
• Excellent verbal communication skills in an effective, clear, calm, friendly and professional manner.
• Ability to effectively communicate to all internal and external customers.
• Manages tasks in a timely fashion.
• Ability to read and interpret documents.

PREFERRED QUALIFICATIONS

• Two to five years of experience with insurance companies preferred.

In addition to fostering a positive work environment with internal career growth opportunities for our employees, we offer a generous comprehensive Total Rewards Package that includes:

• Competitive wages
• Monday-Friday work schedules
• Health, Dental & Vision Coverage (1st of the month following 60 days of employment)*
• 401(k) retirement plan*
• Paid Time Off (PTO)*
• Paid Sick Leave (PSL)
• 7 Company Paid Holidays*
• 100% Company Paid Life Insurance*
• Supplemental Insurance*
• Health and Wellness Program with incentives attached*
• Employee Assistance Program
• Opportunities for quarterly bonus incentives*

• Available for full-time, regular employees of Tri-City Cardiology after meeting certain eligibility requirements

Tri-City Cardiology is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or veteran status or any other characteristic protected by applicable federal, state, or local law. It is our intention that all qualified applicants be given equal employment opportunity and that selection decisions be based on job-related factors.

For more information about career opportunities with Tri-City Cardiology, please visit our website: www.tricitycardiology.com

About Tri-City Cardiology

At Tri-City Cardiology, patient satisfaction is a top priority. Our team of physicians and staff are dedicated to providing high quality care and outstanding patient service so that every encounter is a positive experience! To maintain the highest degree of patient confidence, the practice relies on the Press Ganey system for scoring patient satisfaction.

Each of our board-certified physicians are dedicated to bringing only the best cardiovascular care to their patients based on clinical guidelines established by their specialty boards and fellowship programs. Each one is a leader in his or her field of specialty, many earning the distinction of “Top Doctor” recognition by Phoenix Magazine since the practice was established in 1979. As graduates from some of the nation’s leading medical schools and fellowship programs, the Tri-City Cardiology team of physicians enjoys a national reputation for excellence and achievement.