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Referral Specialist GI Gastroenterology

Banner Health

Chandler, AZ

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JOB DETAILS
SKILLS
Administrative Skills, Calendar Management, Clinical Information, Communication Skills, Current Procedural Terminology (CPT), Customer Support/Service, Establish Priorities, Gastroenterology, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare, Healthcare Management, High School Diploma, ICD-9, Insurance, Managed Care, Medical Terminology, Nonprofit, Patient Care, Patient Education, Patient Follow-up, Presentation/Verbal Skills, Primary Care, Problem Solving Skills, Professional Services, Regulations, Third-Party Payer, Time Management, Writing Skills
LOCATION
Chandler, AZ
POSTED
30+ days ago
Primary City/State:


Chandler, Arizona


Department Name:


East Valley Gastroenterology


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: Monday-Friday, 8am-4:30pm, or 8:30am-5:00pm, will vary.


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.


EEO Statement:


EEO/Disabled/Veterans (https://www.bannerhealth.com/careers/eeo)


Our organization supports a drug-free work environment.


Privacy Policy:


Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
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

About the Company

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Banner Health