Referral Specialist Neurology Scottsdale

About the role

• Primary City/State: Scottsdale, Arizona
• Department Name: Neurology-SHC
• Work Shift: Day
• Job Category: Administrative Services

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We are seeking an experienced candidate with established knowledge to join the opening team at our new Scottsdale facility, anticipated to launch in early 2027. If selected, you will train at our offices between Downtown Phoenix and Arcadia until the facility's opening date, bringing your expertise and passion for excellence to help shape the foundation of this exciting new location.

As a Referral Specialist in Neurology, you will play a key role in ensuring patients receive the specialized care they need. You will coordinate referrals for specialty services and diagnostic testing, serving as the main point of contact between patients, providers, and insurance payers. From scheduling appointments and obtaining authorizations to tracking referrals and closing care gaps, your work will directly impact the patient experience. If you are organized, detail-oriented, and passionate about supporting patients through their care journey, we encourage you to apply.

Schedule: Monday - Friday, 8am - 4:30pm

Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson. Our 1,100-plus clinicians provide primary and specialty care to patients at highly ranked Banner - University Medical Centers and dozens of clinics while providing mentorship to more than 1,200 residents and fellows. Our practice values and encourages the three-part mission of academic medicine: research, education and 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

• 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.