![Banner Health](https://media.trabajo.org/img/noimg.jpg)
Referral Specialist Family Practice Glendale
2 months ago
**Primary City/State**:
Glendale, Arizona
**Department Name**:
Admin-Clinic
**Work Shift**:
Day
**Job Category**:
Administrative Services
The providers at **New River Trails Family Practice** are committed to providing comprehensive care for patients and their family. Our goal is to build lasting relationships with our patients and create personalized care plans with an emphasis on prevention and wellness.
As a **Referral Specialist** in Family Practice you will verify and update patient registration information in the system/chart. Obtain benefit verification and necessary authorizations (referrals, precertification) prior to patient arrival for all specialty consultations and follow ups; Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility; attaches referrals and authorizations to patients’ chart for billing purposes; will process roughly 50 referrals a day; and assist with phones as needed.
**Location**: Banner Health Center - 7701 W Aspera Blvd.
**Schedule**: Monday - Friday 7:30am - 4:00pm or 8:00am - 4:30pm
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
1. 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
2. Acts as a liaison between patients, providers and staff members for patients’ referral and follow up needs. Provides prompt and professional service for the patients by assisting in educating patient/family and assisting patients with external resources when needed.
3. 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
4. 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
5. Applies knowledge of medical terminology and maintains up to date knowledge of insurance environment. Utilizes internal and external resources to seek knowledge about regulations regarding various payor sources
6. 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
7. 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.
Possesses 1 year of direct patient interaction/experience in a medical, insurance, or healthcare related industry.
Knowledge of HIPAA regulations. Strong customer service focus and willingness to problem solve. Effective verbal and written communication skills and the ability to manage competing priorities. Must be proficient with commonly used office software.
Employees working at Banner Scottsdale Sports Medicine, second floor must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
PREFERRED QUALIFICATIONS
Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9 and CPT codes.
Additional related education and/or experience preferred.
EOE/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Privacy Policy
We have other current jobs related to this field that you can find below
-
Store Lead at Glendale
7 days ago
Glendale, United States Glendale Full time $18 - $25Job DescriptionJob DescriptionJob Title: Lead BaristaLocation: Glendale, CACompany: Coffee CommissaryJob Type: Full-TimeAbout Us:Coffee Commissary is a hub for coffee enthusiasts who appreciate quality, creativity, and community. We pride ourselves on delivering exceptional coffee experiences, crafted with care and precision. Our Glendale location is seeking...
-
Closing Lead Barista at Glendale
1 week ago
Glendale, United States Glendale Full time $18 - $25Job DescriptionJob DescriptionJob Title: Closing LeadLocation: Glendale, CACompany: Coffee CommissaryJob Type: Full-TimeThis position would primarily be for closing shifts - 2:30-9:30pmAbout Us:Coffee Commissary is dedicated to delivering an exceptional coffee experience through quality, consistency, and a genuine love for what we do. We believe that great...
-
Temporary Administrative Support Specialist
3 weeks ago
Glendale, United States City of Glendale Arizona Full timeAbout Us:The City of Glendale's Water Services Department provides over 250,000 residents with safe, reliable, and high-quality water and wastewater services. Glendale Water Services promotes industry best practices, leadership, and innovation to ens Support Specialist, Administrative, Support, Specialist, Business Services
-
Glendale, United States Adventist Health Full timeAdventist Health Glendale is seeking an energetic physician to join our Primary Care group at in Glendale, CA just a half hour outside of Downtown Los Angeles. This is an outstanding opportunity for a physician interested in working with experienced providers in an ambulatory setting under an employed model affiliated with a top tier hospital system. -...
-
Police Records Specialist
3 weeks ago
Glendale, United States City of Glendale AZ Full timeLocated on the western edge of the Phoenix metropolitan area, Glendale is a culturally diverse community with approximately 250,000 residents. Glendale is also an exciting sports, shopping, and entertainment destination, famous for its well-preserved charm. The Glendale Police Department employs 459 sworn officers and 163 civilian employees. The Department...
-
Glendale, Arizona, United States Adventist Health Full timeAdventist Health Glendale is seeking an energetic physician to join our Primary Care group at in Glendale, CA just a half hour outside of Downtown Los Angeles. This is an outstanding opportunity for a physician interested in working with experienced providers in an ambulatory setting under an employed model affiliated with a top tier hospital system....
-
Dental Hygienist
3 months ago
Glendale, United States AZ Cosmetic & Family Dentistry - Glendale Full timeJob DescriptionJob DescriptionAdvance your dentistry career with AZ Cosmetic and Family Dentistry in Glendale, AZ as our full-time Dental Hygienist - Dental Hygiene Specialist! We're searching for an oral health professional who can perform cleanings, take x-rays, and educate our patients about oral hygiene. This position earns a competitive wage of...
-
Oral Hygiene Specialist
2 months ago
Glendale, United States AZ Cosmetic & Family Dentistry - Glendale Full timeJob DescriptionJob DescriptionAZ Cosmetic and Family Dentistry, an established dental office in Glendale, AZ, is searching for an Oral Hygiene Specialist - Dental Hygienist to join our amazing team full-time!WHY SHOULD YOU JOIN OUR DENTAL OFFICE?Looking to take your dentistry career to the next level with a clinic that truly cares about its employees? Well,...
-
Glendale, United States Banner Health Full time**CLINICAL EXCELLENCE - INNOVATION - INDUSTRY LEADERSHIP** * Named One of Top 5 Health Systems in the U.S. -Truven Analytics(formerly Thomson Reuters). *Banner Health offers Hospitalists both the stability and success that comes with exploring all the diverse clinical practice settings available to you. From smaller community hospitals to major university...
-
Medical Assistant Orthopedic Glendale
4 weeks ago
Glendale, United States Banner Health Full timePrimary City/State:Glendale, ArizonaDepartment Name: New River Trails OrthopedicsWork Shift: DayJob Category:Clinical Carereat careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities. Apply...
-
Medical Assistant Orthopedic Glendale
4 weeks ago
Glendale, United States Banner Health Full timePrimary City/State:Glendale, ArizonaDepartment Name: New River Trails OrthopedicsWork Shift: DayJob Category:Clinical CareGreat careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities....
-
ECMO Specialist PRN
3 months ago
Glendale, United States SpecialtyCare Full timePassionate, driven people dedicated to making a difference in healthcare. We are seeking a ECMO Specialist PRN - Variable Shift (Nights & Days) to join our SpecialtyCare team in Glendale, CA. Possibility of 20 hours per week. As an ECMO (Extracorporeal Membrane Oxygenation) Specialist you will operate and maintain ECMO circuits for patients...
-
OBGYN Opening in Glendale
4 weeks ago
Glendale, United States Summit Recruiting Group LLC Full timeOB/GYN Opportunity in Glendale, Arizona 10m from Phoenix Position Details - Full-time position within an established private practice with over two decades of community service - Regular weekday and weekend call schedule - Balanced mix of outpatient and inpatient care - Access to state-of-the-art ultrasound machines Position Requirements - MD or DO degree -...
-
Caregivers HomeWell Care Services Glendale
3 weeks ago
Glendale, United States Homewell Care Services - Glendale, AZ Full timeWe are offering Home Care services in the Glendale community and surrounding areas in Arizona and are seeking talented and diligent professionals to join our team. We are offering flexible shifts including live-ins, medical and dental insurance, on-demand pay and continuous training with Care Academy. Caregivers assist agency clients with tasks of daily...
-
Caregivers HomeWell Care Services Glendale
4 months ago
Glendale, United States Homewell Care Services - Glendale, AZ Full timeWe are offering Home Care services in the Glendale community and surrounding areas in Arizona and are seeking talented and diligent professionals to join our team. We are offering flexible shifts including live-ins, medical and dental insurance, on-demand pay and continuous training with Care Academy. Caregivers assist agency clients with tasks of daily...
-
Pediatric Anesthesiology job in Glendale AZ
1 month ago
Glendale, United States Envision Physician Services Full timeEnvision Physician Services is Hiring for Pediatric Anesthesiologists at Banner Thunderbird Medical Center in Glendale, AZ! Join to Earn a $150K Start Date Bonus Valley Anesthesiology Consultants, an Envision Physician Services practice, is actively recruiting board eligible or board-certified Pediatric Anesthesiologists to join our West Valley Division....
-
High Needs Case Manager
1 month ago
Glendale, United States Jewish Family & Children's Service Full timeOverview ** Glendale Location ** High Needs Case Manager: JFCS is seeking compassionate professionals to work with children receiving behavioral-health services as they progress on the path to a more self-sufficient lifestyle and potential family reunification. The High Needs Case Manager also provides guidance and ongoing support to the...
-
High Needs Case Manager
2 months ago
Glendale, United States Jewish Family & Children's Service Full timeOverview Jewish Family and Children’s Service’s (JFCS) values each and every talented applicant, regardless of religious beliefs, race, age, origin, gender, sexual orientation, or cultural background. JFCS places a high value on inclusion and diversity, whether that applies to our employees or the nearly 40,000 clients receiving our services throughout...
-
Lot attendant/Valet/Porter
2 months ago
Glendale, United States Sands Chevrolet Glendale Full timeJob DescriptionJob DescriptionJoin Our Team at Sands Chevrolet Glendale - Lot Attendant/Valet/PorterCompany Overview: Sands Chevrolet Glendale, a family-owned business since 1934, is looking for dedicated individuals to join our team. We offer a supportive work environment with opportunities for career growth within the automotive industry.Position: Lot...
-
OBGYN Opportunity: Glendale, AZ
2 months ago
Glendale, United States Archway Physician Recruitment Full timeOBGYN opening in Glendale, AZSuburb just North of downtown Phoenix, AZFull timePermanent The West Valley area is projected to grow at twice the national rate in just five years, while the pediatric population is estimated to increase from 400,000 today to nearly 500,000 by 2030. As a result, a local children's hospital announced they will be building a...