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Mandatory Referral Eligibility Specialist

Cardiac Solutions · Peoria, AZ · Cardiology practice referral and authorization operations

Employment type

Full-time

Work setting

On-site

Location

Peoria, AZ

Schedule

Day shift

Posted

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Job overview

The Mandatory Referral Eligibility Specialist role is onsite in Peoria, AZ; compensation is not specified. Cardiac Solutions provides patient care through a multidisciplinary cardiology practice focused on wellness education and reducing heart disease progression and hospital admissions. The role supports patient access and accurate account information by obtaining referrals and authorizations, verifying insurance eligibility, and communicating patient out-of-pocket responsibilities. It helps prepare visits, testing, and procedures by ensuring required information is in place before patients arrive.

What you'll do

  • Obtain and verify mandatory referrals and insurance authorizations
  • verify primary and secondary insurance plans and patient registration details
  • create patient accounts and referrals or cases
  • use online eligibility systems
  • confirm demographics and coordination of benefits
  • fax referral forms to primary care providers
  • handle incoming department calls
  • stay informed about changing authorization requirements.

What we're looking for

Skills & competencies
mandatory referral eligibility
peoria az
cardiac solutions
cardiology
patient accounts
insurance verification
referrals
authorizations
patient registration
healthcare administration
Work arrangement
  • Weekend coverage required

Benefits & perks

  • Uniform/scrub allowance
  • seven company-paid holidays
  • medical coverage option
  • dental and vision
  • supplemental insurance options
  • 401(k)
  • paid time off
  • paid sick time
  • employee assistance and discount programs. Some benefits are for full-time regular employees and restrictions may apply.

About the employer

Cardiac Solutions is hiring for this role. Industry: Offices of All Other Miscellaneous Health Practitioners. Sector: 62.

Additional details

Industry sector
62
Industry
Offices of All Other Miscellaneous Health Practitioners
Occupation code
43-6013.00
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