Referral Specialist

CommonSpirit Health; Phoenix (AZ); On-site; USD 25,000 - 33,000; Full time

Job summary

Saint Joseph's Hospital and Medical Center (SJHMC) in Phoenix, AZ, is seeking a Referral Specialist to ensure timely, coordinated patient care. You will be the primary contact for patients and referring providers, handling complex scheduling, insurance verification, and authorization processes.

You will manage a high volume of calls, registrations, and billing-related checks, requiring attention to demographics and coverage accuracy.

Qualifications

• At least a high school diploma or GED.
• Minimum 2 years of administrative/medical office experience.
• Basic computer skills required (Windows).

Responsibilities

• Resolves pre-certification, registration and case-related concerns prior to patient appointments.
• Completes referrals for ancillary, consultation, radiology or lab visits; verifies insurance and schedules.
• Notifies patients of progress and coordinates with carriers and internal departments.

Skills

Administrative experience

Customer service

Medical office experience

Education

High School Diploma or GED

Tools

Excel

Outlook

Job description

Job Summary and Responsibilities

As our Referral Specialist, you will ensure that patients receive timely and coordinated care. You will act as the primary point of contact for patients and referring providers, playing a key role in managing complex scheduling, verifying essential insurance information, and facilitating the authorization process.

Every day you will manage a high volume of incoming calls and patient registrations, meticulously verifying demographics and insurance coverage to ensure billing accuracy.

To be successful in this role, you will possess a high school diploma or GED, with at least one year of administrative experience in a medical setting strongly preferred.

• Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with patients, insurance carriers and various internal departments
• Completes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments, and notifying patients of progress.
• Completes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments and notifying patients of progress

Job Requirements

Required

• High School Graduate
• Minimum of two (2) years experience in Medical Office or other healthcare environment
• Basic Computer skills, Excel, Outlook, windows based programs

Peferred

• Bi-lingual

Where You'll Work

Hello Humankindness: Join a Legacy of Healing at Saint Joseph's Hospital and Medical Center (SJHMC)

Ready to make a real difference? Join SJHMC in Phoenix AZ., a 571-bed nonprofit founded by the Sisters of Mercy over 125 years ago. We're more than a hospital; we're a global destination for life-changing care, embracing patients with humankindness.

Here, your calling will flourish. We're not just a workplace; we're a community dedicated to a mission of service.

Leaders in Specialized Care:

• Barrow Neurological Institute (BNI): A world-renowned center for groundbreaking neurological research and innovative treatments.
• Norton Thoracic Institute (NTI): A national leader in advanced thoracic care with pioneering surgical techniques.
• Level I Trauma Center: One of Arizona's busiest ERs, providing immediate, comprehensive care for critically injured patients 24/7.

Why SJHMC?

• Culture of Excellence & Well-being: We care for our people, fostering professional and personal growth.
• Community & Collaboration: Be part of a network committed to global health and well-being.
• Join a Legacy, Shape a Future: Over 20% of our patients travel internationally for our specialized care.

This is an invitation to join a family of dedicated professionals at the forefront of medical innovation, united by the power of humankindness.