Referral Specialist

Banner Health

11d • Onsite

About The Position

Explore and excel. Banner Health earned Great Place To Work® Certification™ and we’re looking for team members to join our mission to make health care easier, so life can be better. Great options and great opportunities. At Banner we are tapestry of cultures, and experiences. A workforce that is honored to serve and support the community. If you’re looking to leverage your abilities – you belong at Banner Health. As the gateway to Arizona's dramatic high country, Payson offers four-season recreation. This land, where the Ponderosa Pine Forest meets desert canyon country, offers sparkling lakes, and scenic mountains. Ride horses in the morning and fly-fish in the afternoon, and once the first snow falls, strap on your skis and find a trail for cross-country skiing. Click here to view a video about Payson and the surrounding area. As the full time Referral Coordinator for Banner Payson Clinic you must have customer service experience and at least one year in a medical setting with medical terminology and insurance knowledge. Schedule: Mon-Fri 8am-5pm Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. 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.

Requirements

• 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.

Nice To Haves

• Previous knowledge of managed care concepts.
• Working knowledge of medical terminology and ICD-9 and CPT codes.
• Additional related education and/or experience preferred.

Responsibilities

• 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 prompt and professional service for the patients by assisting in educating patient/family and assisting patients with external resources when needed.
• 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. Utilizes internal and external resources to seek knowledge about regulations regarding various payor sources
• 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
• 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

Benefits

• Your pay and benefits are important components of your journey at Banner Health.
• This opportunity includes the option to participate in a variety of health, financial, and security benefits.
• We are proud to offer a comprehensive benefit package for all benefit-eligible positions.
• Please visit our Benefits Guide for more information.

What This Job Offers

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