Referral Specialist Digestive Institute

This Referral Specialist Digestive Institute position is with Banner Health in Mesa, AZ. Primary City/State: Mesa, Arizona Department Name: Banner Staffing Services-AZ Work Shift: Day Job Category: Administrative Services The academic medicine difference. At the center of Banner – University Medicine is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. The Banner – University Medicine Digestive Institute can help manage and treat many digestive complications and illness. Our digestive health providers have access to some of the newest medical technologies and most advanced treatment techniques available. Location: 1441 N 12th St., 2nd Floor, Phoenix Seeking experienced referral specialist to work Mon-Fri 8am 4:30pm, would consider less days/hours based on availability. Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health. As a valued and respected BSS Staffing Services team member, you will enjoy: • Competitive wages • Paid orientation • Flexible Schedules (select positions) • Fewer Shifts Cancelled • Weekly pay • 403(b) Pre-tax retirement • Employee Assistance Program • Employee wellness program • Discount Entertainment tickets • Restaurant/Shopping discounts • Auto Purchase Plan Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes employment, criminal and education) is required. 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 Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy