Referral Specialist

CommonSpirit Health; Phoenix (AZ); On-site; USD 22,000 - 30,000; Full time

Job summary

Saint Joseph’s Hospital and Medical Center in Phoenix, AZ is seeking a Referral Specialist in Cardiology Services to act as a primary liaison for patients and referring providers, coordinating scheduling, verifying insurance information, and guiding the authorization process to ensure timely, coordinated care.

Daily duties include managing a high volume of calls and patient registrations, confirming demographics and coverage for accurate billing, and handling pre-certification and referral

Qualifications

• High School Diploma or GED; minimum two years experience in Medical Office or healthcare setting preferred.
• Basic computer skills including Excel, Outlook, and Windows-based programs.
• Bi-lingual abilities preferred.

Responsibilities

• Resolves pre-certification, registration and case-related concerns prior to a patient’s appointment, interacting with patients, insurance carriers and internal departments.
• Completes the referral process for a patient’s ancillary, consultation, radiology or lab visit; checks insurance coverage, sends approvals, schedules appointments and notifies patients of progress.

Skills

Basic Computer skills

Excel

Outlook

Windows-based programs

Bi-lingual

Education

High School Diploma or GED

Job description

*Job Summary and Responsibilities*

As our Referral Specialist, you will serve as a critical liaison in our Cardiology Services department, ensuring 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; they'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 mon…

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

*Pay Range*

$15.71 - $22.19 /hour