Referral Specialist

Dignity Health Medical Group; United States; On-site; USD 40,000 - 60,000; Full time

Job summary

Saint Joseph's Hospital and Medical Center in Phoenix, AZ is seeking a Referral Specialist to ensure timely and 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 high volumes of calls and registrations, verify demographics and coverage for accurate billing, and support seamless referrals for ancillary, radiology and labs.

Qualifications

• High School Diploma or GED required.
• 1–2 years of administrative experience in a medical setting preferred.
• Experience with scheduling, insurance verification, and authorization processes is a plus.
• Proficient in Microsoft Excel and Outlook; comfortable with Windows-based systems.

Responsibilities

• Coordinate referrals to ensure timely and coordinated patient care.
• Act as primary contact for patients and referring providers; manage scheduling and registrations.
• Verify demographics and insurance coverage to ensure billing accuracy.
• Resolves pre-certification, registration and case-related concerns prior to a patient’s appointment.
• Complete referrals for ancillary, consultation, radiology, or lab visits including insurance checks and approvals.

Skills

High school diploma

Medical office experience

Administrative skills

Customer service

Strong communication

Education

High School Diploma or GED

Tools

Excel

Outlook

Windows based programs

Job description

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.

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, andnotifying 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