Referral Specialist, Health Care

Primary City/State: Mesa, Arizona Department Name: Banner Staffing Services-AZ 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. The Banner - University Medicine Digestive Institute can help manage and treat many digestive complications and illness. Our digestive health providers have access to some of the newest medical technologies and most advanced treatment techniques available.
2nd Floor, Phoenix Seeking experienced referral specialist to work Mon-Fri 8am 4:30pm, would consider less days/hours based on availability.
Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. Flexible Schedules (select positions)
Fewer Shifts Cancelled
Weekly pay
Pre-tax retirement
Employee Assistance Program
Auto Purchase Plan
Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. POSITION SUMMARY This position is responsible for coordinating referral orders for a continuation of treatment, such as specialty services and diagnostic testing within a primary care practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for tracking and managing all referrals with the intention and outcome to close any patient care gaps, along with providing documentation to promote team awareness.
CORE FUNCTIONS Schedules appointments for specialty physician services and diagnostic testing per provider request and communicates with the patient on a timely basis for all scheduling requirements.
Acts as a liaison between patients, providers and staff members for patients’ referral and follow up needs. Provides all pertinent clinical information needed for the payor authorization, the facility or specialist prior to the services being rendered by verifying coverage, obtaining authorization and communicating with receiving facilities.
Tracks and manages all referrals by monitoring outstanding referrals at 30/60/90 day intervals and following up with patients if appointments are not kept.
Applies knowledge of medical terminology and maintains up to date knowledge of insurance environment. Collaborates with outside referral sources and other community resources. Maintains an updated list of community resources and networks with colleagues to develop additional referral sources.
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.
Possesses 1 year of direct patient interaction/experience in a medical, insurance, or healthcare related industry.
Strong customer service focus and willingness to problem solve.
Must be proficient with commonly used office software.
PREFERRED QUALIFICATIONS Previous knowledge of managed care concepts.
Working knowledge of medical terminology and ICD-9 and CPT codes.
EEO STATEMENT EEO/Disabled/Veterans Our organization supports a drug-free work environment.
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