Referral Specialist Cardiology

Banner Health • Mesa, AZ

2d • Onsite

About The Position

The Referral Specialist for Cardiology coordinates referral orders for continued treatment, including specialty services and diagnostic testing within a primary care practice. The role provides clinical information needed for payer authorization and for facilities or specialists before services are rendered. It tracks and manages referrals to help close patient care gaps and documents activity to promote team awareness.

Working in a multispecialty clinic, the specialist schedules appointments, communicates with patients, and serves as a liaison among patients, providers, and staff. The position also verifies coverage, obtains authorizations, follows up on outstanding referrals, and uses internal and external resources to stay informed about payer regulations. The role involves frequent communication with patients, physicians, staff, and third-party payers, and prioritizing tasks under moderate supervision.

The position is based in Chandler, Arizona, and follows a Monday–Friday day schedule from 8:30 a.m. to 5:00 p.m.

Requirements

• High school diploma, GED, or equivalent working knowledge.
• One year of direct patient interaction or 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.

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.

Responsibilities

• Schedule specialty physician appointments and diagnostic testing at provider request, and communicate scheduling requirements to patients promptly.
• Serve as a liaison among patients, providers, and staff regarding referral and follow-up needs; provide professional service, assist with patient and family education, and help patients access external resources when needed.
• Provide clinical information for payer authorization and receiving facilities or specialists; verify coverage, obtain authorization, and communicate with facilities before services are rendered.
• Track and manage referrals, monitor outstanding referrals at 30-, 60-, and 90-day intervals, and follow up with patients who miss appointments.
• Apply medical terminology knowledge and maintain current knowledge of the insurance environment and payer regulations using internal and external resources.
• Collaborate with outside referral sources and community resources, maintain an updated list of community resources, and network with colleagues to develop additional referral sources.
• Communicate frequently with patients, physicians, staff, and third-party payers, and prioritize tasks within established guidelines under moderate supervision.

What This Job Offers

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