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  • Referral Specialist

    Banner Health (Tucson, AZ)



    Apply Now

    Primary City/State:

    Mesa, Arizona

    Department Name:

    Banner Staffing Services-AZ

    Work Shift:

    Job Category:

    Administrative Services

    **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. When working per Diem you must work at least 2 shifts a month.

    As a valued and respected Banner Health 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) are required.

     

    This is a Hybrid/Remote position . You MUST live in Tucson or the surrounding areas

     

    The Referral Specialist will be responsible for coordinating referral orders for a continuation of treatment, such as specialty services and diagnostic testing within a primary care practice.

     

    **Location** :

     

    575 E River Rd

     

    Tucson, AZ

    Schedule:

    Monday-Friday 8:30AM -5PM

     

    This is a Per Diem role. The hours are expected to be around 32 hours per week. This project specific role is expected to last around 6 months.

    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.

     

    Employees working at Banner Scottsdale Sports Medicine, second floor must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

    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

     


    Apply Now



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