Referral Coordinator: Patient Access & Scheduling

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

Job summary

Banner Health’s Gastroenterology team in Sun City West is seeking a Referral Specialist to coordinate referral orders for specialty services and diagnostic testing within a primary care setting. You will ensure essential clinical information reaches payors and providers, enabling timely services and reducing care gaps.

You will schedule appointments, act as a liaison among patients, providers and staff, verify coverage, obtain authorizations, and monitor referrals at 30/60/90 days, communicating

Qualifications

• High school diploma/GED or equivalent working knowledge.
• 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.

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 pri or 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

Job description

Banner Health’s Gastroenterology team in Sun City West is seeking a Referral Specialist to coordinate referral orders for specialty services and diagnostic testing within a primary care setting. You will ensure essential clinical information reaches payors and providers, enabling timely services and reducing care gaps.

You will schedule appointments, act as a liaison among patients, providers and staff, verify coverage, obtain authorizations, and monitor referrals at 30/60/90 days, communicating