Referral Specialist

Banner Health; Arizona; Remote; USD 27,000 - 40,000; Full time

Job summary

Banner Health is seeking a Referral Specialist to support Banner-ordered referrals remotely. You will coordinate referrals for specialty services and diagnostics, ensuring the payor authorization information is complete and accurate.

The role acts as a bridge between patients, providers, and staff, with a focus on timely follow-up and closing care gaps. The position requires HIPAA knowledge, strong customer service skills, and the ability to manage multiple priorities in a healthcare setting.

Qualifications

• High school diploma or GED required.
• 1 year of direct patient interaction/experience in medical, insurance, or healthcare.
• Knowledge of HIPAA regulations and strong customer service focus.
• Ability to handle multiple priorities with effective verbal and written communication.

Responsibilities

• Coordinate referral orders for continuation of treatment (specialty services, diagnostics).
• Serve as liaison between patients, providers and staff for referral needs.
• Provide clinical information for payor authorization and communication with facilities.
• Track referrals and follow up at 30/60/90 day intervals.
• Maintain up-to-date knowledge of insurance requirements and regulations.

Skills

Customer service

Verbal & written communication

HIPAA compliance

Medical terminology

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Referral Specialist### Referral SpecialistApply: Remote: Remote Arizona: Full time: Posted Yesterday: R4459388**Department Name:**CEC-Clinical Integration**Work Shift:**Day**Job Category:**Administrative Services Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care – and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you. Banner is seeking a dedicated and detail-oriented Referral Specialist . This role focuses on supporting Banner-ordered referrals while leveraging extensive knowledge of Cerner's referral management tool and a strong understanding of insurance requirements and authorization processes. Duties: You will support Banner ordered referrals.Location: REMOTEHours: Monday – Friday 8am-5pmTraining: Training and ongoing support will be provided by peers in a similar positionWithin Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.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. CORE FUNCTIONS 1. 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 2. 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. 3. 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 4. 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 5. 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 6. 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 7. 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 MINIMUM QUALIFICATIONS 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. PREFERRED QUALIFICATIONSPrevious knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9 and CPT codes. Additional related education and/or experience preferred. **Estimated Pay Range:**$19.45 - $29.17 / hourBanner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.