Job Details

Centauri Health Solutions Job Posting

Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care.

Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500, and has been recognized as 2026 Best in KLAS for ADT Notifications.

Role Summary

This position is responsible for accurately performing the Schedule+ functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public.

Role Responsibilities

Insurance Authorization/Verification

• Thoroughly completes the insurance verification process to ensure the accuracy of insurance information.
• Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services.
• Coordinates peer-to-peer reviews as needed between the physician and the insurance company.
• Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system.
• Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process.
• Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
• Monitors appropriate work lists to ensure timely insurance verification processing.
• Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements.

Scheduling

• Makes outbound and receives inbound calls to schedule patients for imaging services at an HCA facility.
• Schedules and documents notes in hospital and Centauri's operating system.
• Provide patient prep instructions for the services scheduled.
• Works with hospital staff to ensure patients are scheduled timely, appropriately and receive the upmost customer service.

Clerical

• Monitors and manages the e-mail inbox or fax machine for assigned practices throughout the day.
• Works any requests e-mailed or faxes received.
• Checks and responds to voicemails.
• Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices.
• Monitors appropriate work lists to ensure timely insurance verification processing.

Additional Responsibilities

• Effectively communicates operational activities and issues with co-workers, Supervisor, and Manager.
• Interfaces courteously and effectively with internal and external customers. Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures.
• Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process.
• Identifies and recommends process improvements for the Schedule+ Program.
• Performs other duties as assigned by the Patient Access Management Team.

Role Requirements

• Excellent customer service or client relations experience; office or hospital environment
• Must be fluent in English and Spanish (read, write, speak)
• High volume call center experience preferred
• High school diploma or equivalent GED required
• Associates degree in a related field or a minimum of two years in patient scheduling, registration and/or healthcare billing
• Strong Literacy (grammar, spelling, math)
• Strong Microsoft Products, word, excel, outlook, windows

We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. Centauri provides training and the computer equipment needed for this role. We offer our employees competitive compensation and a comprehensive benefits package that includes paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company's plan. Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate. Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.