Vacancy expired!
Primary City/State:PHOENIX, ArizonaDepartment Name:PBD-Admin-ArcadiaWork Shift:DayJob Category:Administrative ServicesThe future is full of possibilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. If you’re ready to change lives, we want to hear from you.Banner Health Center plus - Arcadia is one of our newest facilities, taking a new approach to ambulatory care. It will house multiple services in one convenient location, including: Banner Urgent Care, Banner Imaging, Sports Medicine/Orthopedics, Banner Physical Therapy, Sonora Quest Laboratories and Banner Surgery Center. There will also be several Banner University Medical Group specialty clinics such as endocrinology, pulmonology, pediatric/adolescent behavioral health for medical bariatric services, women’s health, primary care, cardiology, gastroenterology, rheumatology, infusion services, several surgical specialties and neurosciences - as well as the new Center for Normal Pressure Hydrocephalus.This is a full time day shift position working Monday through Friday 730AM-430PM, with option for 8A-5P. The position will be hybrid with 2-3 WFH days, and 2-3 in office days at Arcadia. This referral specialist will cover multispeciality services including Primary Care and Pulmonology with the ability to work with 16 different service lines that provides the opportunity to widen skill set. New facility that has been open for approximately 1 year (only Health Center Plus available within BUMG). Facility full of growth and expansion, lots of opportunity for career/skill development. Offer flexible schedules to work from home once training is completed.Banner Health has been recognized by Becker’s Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweek’s list of America’s Greatest Workplaces 2023 for Diversity.These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement .University Medical Center Phoenix PBCs Banner - University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, a number of unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics, and with a new $400 million campus investment, a new patient tower and 2 new clinic buildings will be built.POSITION SUMMARYThis 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 QUALIFICATIONSHigh 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 QUALIFICATIONSPrevious knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9 and CPT codes.Additional related education and/or experience preferred.EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)Our organization supports a drug-free work environment.Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)EOE/Female/Minority/Disability/VeteransBanner 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
Full-time