Referral Specialist Neurology Scottsdale

Banner University Medical Group; Scottsdale, Phoenix (AZ, AZ); On-site; USD 40,000 - 55,000; Full time

Job summary

Banner Health in Scottsdale seeks a Referral Specialist in Neurology to coordinate referrals for specialty services and diagnostic testing within a primary care practice. You will be the main contact between patients, providers, and insurers, ensuring timely scheduling and payer authorization.

This role emphasizes organization, attention to detail, and a patient-focused approach. You will track referrals at 30/60/90 day intervals, help close care gaps, and support the care journey across Banner

Qualifications

• High school diploma/GED or equivalent.
• 1 year of direct patient interaction/experience.
• Knowledge of HIPAA regulations.
• Strong customer service focus and problem solving.
• Effective verbal and written communication and prioritization.

Responsibilities

• Schedules appointments for specialty physician services and diagnostic testing as requested by providers.
• Liaises between patients, providers and staff for referral and follow-up needs.
• Provides information needed for payor authorization and referrals prior to services.
• Tracks referrals at 30/60/90 day intervals and follows up if appointments are not kept.
• Uses medical terminology and stays updated on insurance regulations and payor sources.
• Collaborates with outside referral sources and community resources.

Skills

Customer service

HIPAA knowledge

Verbal communication

Written communication

Prioritization

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Primary City/State: Scottsdale, Arizona Department Name: Neurology-SHC Work Shift: Day Job Category: Administrative Services

Find your path in health care. Our team members make Banner Health a Great Place To Work®. Learn how you can join our dedicated team of professionals. We are seeking an experienced candidate with established knowledge to join the opening team at our new Scottsdale facility, anticipated to launch in early 2027. If selected, you will train at our offices between Downtown Phoenix and Arcadia until the facility's opening date, bringing your expertise and passion for excellence to help shape the foundation of this exciting new location.

As a Referral Specialist in Neurology, you will play a key role in ensuring patients receive the specialized care they need. You will coordinate referrals for specialty services and diagnostic testing, serving as the main point of contact between patients, providers, and insurance payers. From scheduling appointments and obtaining authorizations to tracking referrals and closing care gaps, your work will directly impact the patient experience. If you are organized, detail-oriented, and passionate about supporting patients through their care journey, we encourage you to apply.

Schedule: Monday - Friday, 8am - 4:30pm

Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson. Our 1,100-plus clinicians provide primary and specialty care to patients at highly ranked Banner - University Medical Centers and dozens of clinics while providing mentorship to more than 1,200 residents and fellows. Our practice values and encourages the three-part mission of academic medicine: research, education and 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

• 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
• 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.
• 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
• 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
• 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
• 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
• 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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Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better.

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Please visit our Benefits Guide for more information.

EEO/Disabled/Veterans Banner Health supports a drug-free work environment.

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