Orthopedics Referral Specialist — Patient Care & Scheduling

Banner Health; Gilbert (AZ); On-site; USD 42,000 - 54,000; Full time

Job summary

Banner Health in Gilbert, AZ is seeking a Referral Specialist to coordinate referral orders for specialty services and diagnostic testing within a primary care practice. You will provide necessary clinical information for payor authorization and ensure referrals are tracked and closed to prevent care gaps.

You will communicate with patients, providers and staff to schedule appointments, educate patients, and verify coverage while keeping up with insurance requirements and regulations.

Qualifications

• High school diploma or equivalent.
• Knowledge of HIPAA regulations and strong customer service focus.
• Effective verbal and written communication and ability to manage competing priorities.

Responsibilities

• Schedules referrals and coordinates appointments for specialty services.
• Acts as liaison between patients, providers and staff for referrals and follow-up needs.
• Provides clinical information for payor authorization and verifies coverage and authorizations.
• Tracks referrals at 30/60/90 day intervals and follows up with patients.
• Maintains current knowledge of insurance regulations and payor sources.
• Collaborates with outside referral sources and community resources.
• Communicates with patients, physicians and payers to prioritize tasks under supervision.

Skills

Customer service

Communication skills

Prioritization

HIPAA knowledge

Education

High school diploma/GED

Tools

Office software

Job description

Banner Health in Gilbert, AZ is seeking a Referral Specialist to coordinate referral orders for specialty services and diagnostic testing within a primary care practice. You will provide necessary clinical information for payor authorization and ensure referrals are tracked and closed to prevent care gaps.

You will communicate with patients, providers and staff to schedule appointments, educate patients, and verify coverage while keeping up with insurance requirements and regulations.