Referral Specialist Dermatology

bannerhealth; Glendale (AZ); On-site; USD 30,000 - 42,000; Full time

Job summary

Banner Health is seeking a Medical Assistant in Glendale, AZ, to join the New River Trails Dermatology team. You will room patients, take vitals, assist with procedures, scribe, and update EMRs with accuracy and timeliness.

In this role you will call patients with results, check faxes, initiate prior authorizations, stock rooms, sterilize instruments, and contribute as a strong team player within a friendly, family-like environment.

Qualifications

• High school diploma or GED is required.
• 1 year of direct patient interaction/experience in medical, insurance, or healthcare-related industry.
• Knowledge of HIPAA regulations; strong customer service focus; effective communication; ability to manage competing priorities; proficient with commonly used office software.

Responsibilities

• Schedules appointments for specialty physician services and diagnostic testing.
• Acts as liaison between patients, providers and staff for referral and follow-up needs.
• Provides all pertinent clinical information for payor authorization and pre-service coordination.
• Tracks referrals and follows up with patients at 30/60/90 day intervals.
• Maintains up-to-date knowledge of insurance regulations and payor sources.
• Collaborates with outside referral sources and networks to develop additional referral sources.
• Consistently communicates with patients, physicians, staff, and third party payers, prioritizing tasks under supervision.

Skills

Direct patient interaction

HIPAA knowledge

Customer service

Verbal & written communication

Prioritization

Office software proficiency

Education

High school diploma/GED

Tools

Microsoft Office

Job description

Primary City/State:

Glendale, Arizona

Department Name:

New River Trails Dermatology

Work Shift:

Day

Job Category:

Administrative Services

Great 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.

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.

As a Medical Assistanton this team, you will be an integral part of the patient's Banner experience looking to provide each person with the best customer service and patient care. When assisting patients directly, you will be rooming patients, taking vital signs, assisting with procedures, scribing, and updating patient electronic medical records accurately and timely. When not doing direct patient care you will be responsible for calling patients with results, checking faxes, initiating prior authorizations, stocking rooms, sterilizing instruments and being an all-around team player. You will be working with a fun, strong team in a family like environment.

Location: Banner Medical Group - 7701 W Aspera Blvd Glendale , AZ

Schedule: Monday - Friday 7:30am - 4:00pm

At 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 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 QUALIFICATIONS

• Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9 and CPT codes.
• Additional related education and/or experience preferred.

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