Healthcare Referral Specialist

4 days ago


Scottsdale, Arizona, United States Banner Health Full time

Job Summary:

Banner Health is seeking a skilled Healthcare Referral Specialist to join our team. As a key member of our healthcare team, you will play a critical role in coordinating patient referrals and ensuring seamless transitions of care.

Key Responsibilities:

  • Coordinate Referrals: Schedule appointments for specialty physician services and diagnostic testing, communicating with patients and providers to ensure timely and effective care.
  • Liaise with Patients and Providers: Act as a liaison between patients, providers, and staff members to address patient referral and follow-up needs, providing prompt and professional service.
  • Verify Insurance and Authorization: Verify patient insurance coverage and obtain authorization for services, ensuring compliance with payor regulations.
  • Track and Manage Referrals: Monitor outstanding referrals, following up with patients and providers to ensure timely completion of care.
  • Collaborate with Community Resources: Develop and maintain relationships with community resources and healthcare providers to enhance patient care and outcomes.

Requirements:

  • High School Diploma or Equivalent: Required.
  • 1 Year of Direct Patient Interaction Experience: Required.
  • Knowledge of HIPAA Regulations: Required.
  • Strong Customer Service Focus: Required.
  • Effective Verbal and Written Communication Skills: Required.
  • Ability to Manage Competing Priorities: Required.

Preferred Qualifications:

  • Previous Knowledge of Managed Care Concepts: Preferred.
  • Working Knowledge of Medical Terminology and ICD-9 and CPT Codes: Preferred.

About Banner Health:

Banner Health is a nonprofit health care system dedicated to providing excellent patient care and improving the health of the communities we serve. We are committed to making health care easier, so life can be better.

Benefits:

  • Wellness and Fitness Programs: Available.
  • Medical Benefits: Available.
  • Dental Benefits: Available.
  • Vision Benefits: Available.
  • Health Care FSA: Available.
  • Discount Program: Available.
  • 401k Retirement Plan: Available.
  • Health Savings Account: Available.


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