Referral Specialist Dermatology

Friendsofkerhonkson; Glendale (AZ); On-site; USD 42,000 - 54,000; Full time

Job summary

Banner Health Dermatology seeks an Administrative Services coordinator to manage referral orders and coordinate communications between patients, providers, and payors. This role ensures timely authorization, tracks referrals, and maintains up-to-date knowledge of insurance guidelines within a Banner Medical Group practice.

The position emphasizes strong customer service, effective verbal and written communication, and the ability to handle multiple priorities in a fast-paced environment.

Qualifications

• High school diploma or GED required.
• At least 1 year of direct patient interaction/experience in medical, insurance, or healthcare setting.
• Knowledge of HIPAA regulations and patient privacy requirements.

Responsibilities

• Schedule appointments for specialty physician services and testing.
• Act as liaison between patients, providers, and staff for referral and follow-up needs.
• Provide clinical information for payor authorization prior to services.
• Track referrals and follow up on outstanding referrals at 30/60/90 days.
• Understand medical terminology and insurance environment; use resources to learn payor rules.
• Collaborate with outside referral sources and community resources.

Skills

Customer service

Verbal communication

Written communication

Problem solving

Multi-tasking

Education

High school diploma

Tools

MS Office

Job description

Primary City/State:Glendale, ArizonaDepartment Name:New River Trails DermatologyWork Shift:DayJob Category:Administrative ServicesGreat careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities. Apply today, this could be the perfect opportunity for you.Banner Health Dermatology offers a comprehensive range of services, from the common to the complex for skin, hair and nails, our dermatologists are here to help.Location: Banner Medical Group - 7701 W Aspera Blvd Glendale , AZSchedule: Monday - Friday 7:30am - 4:00pmAt Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care.POSITION SUMMARYThis 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 FUNCTIONS1. Schedules appointments for specialty physician services and diagnostic testing per provider request and communicates with the patient on a timely basis for all scheduling requirements2. 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 facilities4. Tracks and manages all referrals by monitoring outstanding referrals at 30/60/90 day intervals and following up with patients if appointments are not kept5. 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 sources6. Collaborates with outside referral sources and other community resources. Maintains an updated list of community resources and networks with colleagues to develop additional referral sources7. 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 supervisionMINIMUM QUALIFICATIONSHigh 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.EEO Statement:EEO/Disabled/VeteransOur organization supports a drug-free work environment.Privacy Policy:Privacy Policy