Referral Specialist - Glendale, United States - Banner Health

Banner Health

Verified Company

Glendale, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Primary City/State:

Glendale, Arizona

Department Name:

Cardiac Rehab-Hosp

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.

Banner Thunderbird cares for a high volume of heart disease patients throughout the state of Arizona and the southwest.

Our goal is to offer patients excellent cardiac services by providing safe, compassionate care and the best advanced treatment options.

As a Referral Specialist you will be responsible for coordinating referral orders for a continuation of treatment for pulmonary and cardiac rehab.

You will have frequent communication with physicians, registration, physician's staff, insurance authorization and other third parties.

This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered.

If you have a vast knowledge of cardiac procedures and complex insurance coding and registration, this is the job for you.

Schedule:
Monday-Friday, 8:00am

4:30pm; no weekends or holidays

Your pay and benefits are important components of your journey at Banner Health. Banner Health offers a variety of benefits to help you and your family.

We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

Banner Health's premier West Valley Level I Trauma for adults and Tertiary Care destination for all ages.

Banner Thunderbird Medical Center (BTMC) and Banner Children's Hospital at Thunderbird provide a preferred destination for surgical, oncological, cardiovascular, neuroscience, orthopedic, pediatric, and women and infant services achieved through best-in-class 5-star CMS rating to provide patients with high quality, safe care for the best possible experience.

Our campus is one of the largest campuses in the Banner network with over 3000 employees. BTMC was voted Best of the Best in 2023 by Banner Health out of 30 hospitals. This is the most prestigious award one of our largest hospitals can receive for consistently meeting our annual targets.

If you would like to contribute to truly leading edge caring, we invite you to bring your experience and skills to Banner Thunderbird.

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

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
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.
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
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
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
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
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 an