Referral Coordinator
Company: Banner Health
Location: Chandler
Posted on: June 24, 2022
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Job Description:
Primary City/State:
Mesa, Arizona
Department Name:
Admin-Clinic
Work Shift:
Day
Job Category:
Administrative Services
Good health care is key to a good life. At Banner Health, we
understand that, and that's why we work hard every day to make a
difference in people's lives. We've united under a common goal:
Make health care easier, so life can be better. It's a lofty goal,
but it's one we're committed to seeing through. Do you like the
idea of making a positive change in people's lives - and your own?
If so, this could be the perfect opportunity for you. Apply
now.
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.
Shift: M-F 8-5
Location: 1300 S. Country Club Suite 3 Mesa, AZ 85210
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.
Keywords: Banner Health, Chandler , Referral Coordinator, Other , Chandler, Arizona
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