Referral Coordinator – Patient Access & Care

Banner Health; Fallon (NV); On-site; USD 42,000 - 65,000; Full time

Job summary

Banner Health's Fallon clinic is seeking a Referral Specialist to coordinate referral orders for specialty services and diagnostics within a primary care setting. You will ensure payor authorization, track referrals, and maintain client communication to close care gaps.

You will work with patients, providers, and outside resources, applying medical terminology and HIPAA knowledge while keeping up-to-date with payer requirements in a fast-paced environment.

Qualifications

• High school diploma or GED required.
• 1 year direct patient interaction/healthcare experience preferred.
• Knowledge of HIPAA regulations and strong customer service focus.
• Effective verbal and written communication skills and ability to manage competing priorities.
• Proficiency with commonly used office software.

Responsibilities

• Schedules patient referrals for specialty services and diagnostic testing.
• Acts as liaison between patients, providers and staff for referrals and follow-up.
• Verifies coverage, obtains authorization, and communicates with payors/facilities.
• Tracks referrals at 30/60/90 day intervals and follows up with patients.
• Maintains up-to-date knowledge of insurance regulations and payor sources.
• Collaborates with outside referral sources and community resources.
• Handles communications with patients, physicians, and third-party payers within guidelines.

Skills

Customer service

Verbal communication

Written communication

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Banner Health's Fallon clinic is seeking a Referral Specialist to coordinate referral orders for specialty services and diagnostics within a primary care setting. You will ensure payor authorization, track referrals, and maintain client communication to close care gaps.

You will work with patients, providers, and outside resources, applying medical terminology and HIPAA knowledge while keeping up-to-date with payer requirements in a fast-paced environment.