Referral Specialist

CommonSpirit Health • Phoenix, AZ

2d • Onsite

About The Position

The Referral Specialist ensures patients receive timely, coordinated care and serves as a primary point of contact for patients and referring providers. The role manages complex scheduling, verifies insurance information, and facilitates authorization processes. It also handles a high volume of incoming calls and patient registrations, carefully verifying demographics and insurance coverage to support billing accuracy.

The Referral Specialist resolves pre-certification, registration, and case-related concerns before patients’ appointments by coordinating with patients, insurance carriers, and internal departments. The role completes referrals for ancillary, consultation, radiology, or lab visits, including checking insurance coverage, sending approval requests, receiving confirmations, scheduling appointments, and updating patients on progress.

Requirements

• High school diploma or GED.
• At least two years of experience in a medical office or other healthcare environment.
• Basic computer skills, including Excel, Outlook, and Windows-based programs.

Nice To Haves

• Bilingual ability.

Responsibilities

• Resolve pre-certification, registration, and case-related concerns before patients’ appointments by working with patients, insurance carriers, and internal departments.
• Complete referrals for ancillary, consultation, radiology, or lab visits, including checking insurance coverage, sending approval requests, receiving confirmations, scheduling appointments, and notifying patients of progress.
• Manage incoming calls and patient registrations.
• Verify patient demographics and insurance coverage to support billing accuracy.
• Serve as a primary point of contact for patients and referring providers.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED