Referral Specialist, Neurosurgery

Banner Health; Phoenix (AZ); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Restaurant d'entreprise

Indemnités de stage/alternance

Job summary

Banner Health in Phoenix, Arizona, is seeking an Administrative Services coordinator for the FCS-Neurosurgery-BDMC department. The role focuses on coordinating referrals, scheduling specialty services, and ensuring payor authorization prior to services.

The position requires a high school diploma or GED and at least one year of direct patient interaction in healthcare, with strong communication and customer service skills to support patients and providers.

Qualifications

• High school diploma or GED required.
• At least 1 year of direct patient interaction/experience in medical/insurance.
• Knowledge of HIPAA regulations and strong customer-service focus.
• Proficient with commonly used office software.

Responsibilities

• Schedules appointments for specialty services and diagnostic testing.
• Acts as liaison between patients, providers and staff for referral and follow-up needs.
• Provides clinical information needed for payor authorization and communicates with facilities.
• Tracks referrals and follows up with patients at 30/60/90 day intervals.
• Maintains knowledge of insurance regulations and uses resources to learn payor requirements.
• Collaborates with outside referral sources and community resources to identify new referrals.
• Communicates with patients, physicians, staff and payers; prioritizes tasks within guidelines.

Skills

Front desk experience

Insurance knowledge

Customer service

Communication skills

Education

High school diploma/GED

Tools

Microsoft Office

Job description

Primary City/State: Phoenix, Arizona

Department Name: FCS-Neurosurgery-BDMC

Work Shift: Day

Job Category: Administrative Services

Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care – and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you.

Our Health Clinic is a very busy fast paced working environment where over a couple hundred patients visit us each day. We are looking for someone not only focused on patients as the number one goal but also a team player.

Location: Banner Brain and Spine, 1520 S. Dobson Rd. Suite #206, Mesa, Az. 85202

Hours: Mon-Fri 8am-5pm, or 8:30am-5:00pm

We are looking for someone with basic front office experience, insurance knowledge and someone who has fantastic customer service skills!

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

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.

EEO Statement:

EEO/Disabled/Veterans

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability