Referral Specialist

🔥 8 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $19 - $29 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Support Banner-ordered referrals • Coordinate referral orders for continuation of treatment, including specialty services and diagnostic testing • Schedule specialty physician appointments and diagnostic testing per provider request • Communicate with patients regarding scheduling requirements • Liaise between patients, providers, and staff for referral and follow-up needs • Educate patients and families and assist with external resources when needed • Verify coverage, obtain authorization, and communicate with receiving facilities • Provide clinical information for payer authorization and facilities or specialists • Track and manage referrals at 30/60/90-day intervals • Follow up with patients when appointments are not kept • Maintain current knowledge of medical terminology, insurance requirements, and payer regulations • Collaborate with outside referral sources and community resources • Maintain an updated list of community resources and develop additional referral sources • Communicate with patients, physicians, staff, and third-party payers • Prioritize tasks within established guidelines with moderate supervision

🎯 Requirements

• High school diploma/GED or equivalent working knowledge • 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 • Ability to manage competing priorities • Proficiency with commonly used office software • Previous knowledge of managed care concepts preferred • Working knowledge of medical terminology and ICD-9 and CPT codes preferred • Additional related education and/or experience preferred

🏖️ Benefits

• Training and ongoing support provided by peers in a similar position • Opportunity to apply unique experience and expertise within Banner Health • Stimulating and rewarding careers • Total rewards package (value not itemized)

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