Primary City/State:
Mesa, Arizona
Department Name:
Banner Staffing Services-AZ
Work Shift:
Day
Job Category:
Administrative Services
The future is full of possibilities. At Banner Staffing Services, we're excited about what the future holds for health care. Our team has come together with the common goal: Make health care easier, so life can be better. If you're ready to change lives, apply today.
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.
As a Referral Specialist at this clinic, you will be coordinating referral orders for the continuation of treatment for the patients at Gastro Arcadia. This includes providing all pertinent clinical information needed to the payor authorization and the facility or specialist prior to the services being rendered.
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. Learn more at https://youtu.be/Pu3VR3tGlw0
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
Resources for living (Employee Assistance Program)
MyWell-Being (Wellness program)
Discount Entertainment tickets
Restaurant/Shopping discounts
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.
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.
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
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 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.
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/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
