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BUMC Phoenix (1111 E McDowell Rd), United States of America

Authorization Representative Wound and Plastic Surgery Clinic.

Primary City/State: Phoenix, Arizona Department Name: BUMCP Plastic Surgery Work Shift: Day Job Category: Administrative Services The academic medicine difference. At the center of Banner – University Medicine is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. Banner – University Medical Center Wound Care and Hyperbaric Medicine Clinic is part of the Wound Care & Hyperbaric Medicine Center at Banner – University Medical Center Phoenix. The clinic offers treatment options for patients with complicated, chronic and non-healing wounds. Our multi-disciplinary team, which includes family practice physicians, plastic surgeons, podiatrists, vascular surgeons, general surgeons and orthopedic surgeons, all have advanced training in wound care. Our clinicians have national certification and expertise in caring for patients with wounds. We use a case management model to help patients navigate through the complex health care arena This is a full time (40 hours/week), day shift position: Monday - Friday, 7:30am-4pm. Perfect for detail oriented, flexible, problem solver with strong authorization experience, customer service skills and ability to multi-task with a positive demeanor. We are a very hard working and competent group. We provide lots of hands on training on a continual basis. Our clinic allows for staff to learn a ton about all aspects of this clinic- clinical, data driven info, etc. University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics and has operations in multiple locations spanning across the Phoenix metropolitan city. POSITION SUMMARY This position is responsible for obtaining and processing all pertinent clinical information needed for the authorization of professional and medical services. The position responds to patient referrals and works insurance companies to pre-certify services based on the patient’s benefit plan. CORE FUNCTIONS 1. Responds to patient referrals for tests, procedures, and specialty visits. Obtains authorizations required by various payors; including verification of patient demographic information, codes, dates of service, and clinical data. Re-certifies services when necessary. 2. Authorizes and schedules appointments. Answers questions regarding the authorization process and supplies information to physicians, patients, and third party payers. May, depending on department/location, inform patients about necessary preparation for procedure or test. 3. Provides necessary information regarding authorization numbers and patient demographic information to appropriate staff, including billing. Provides information about the referral process to physician and staff and informs them of eligibility issues. Works with staff and patients regarding denials and appeals. 4. Documents and maintains records of all referral activity and authorizations. 5. Performs other related duties as assigned. This may include cross-coverage in other areas. 6. This position has frequent communications with patients, physicians, staff, and third party payers. The position must work with and understand the concepts of managed health care and be able to prioritize tasks within established guidelines with moderate supervision. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Must possess effective verbal and written communication skills. Must be proficient with commonly used office software. PREFERRED QUALIFICATIONS One or more years of experience normally gained in a medical office or insurance environment. Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD9 and CPT codes. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy 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. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Disabled/Veterans Banner Health supports a drug-free work environment. Privacy Policy As of Sept. 9, 2026, Apple Sign-In will no longer be supported on our career site due to technical issues. If you’ve used Apple “Hide My Email”: Please create a new account using your personal email address or use a Google or LinkedIn account. If you have active application, please contact [email protected] for assistance merging your profiles so no history is lost. If you’ve used Apple and shared your email: To regain access, select ‘Sign in with email’ and use the ‘Forgot Your Password?’ feature – enter your Apple email and the follow the reset steps to access your account. You can also sign in with Google or LinkedIn using the same email. Your account and application history are fully intact. Need help? Contact the Banner Health Talent Acquisition team at [email protected]. This website contains the current Banner Health job openings. Applications submitted on this site will be securely submitted for consideration. Applying via our careers website is the only way to obtain employment with Banner Health. We will never ask you for personal or banking information, or for equipment to be purchased or sent to us as part of the hiring process. Job seekers should only respond to communication from Banner’s email domain, @bannerhealth.com. For questions or to report a scam visit our contact page.
Pay
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Where
BUMC Phoenix (1111 E McDowell Rd), United States of America
Work
Not stated
Type
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Posted
22 Oct, 2026
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