This job was posted by https://www.azjobconnection.gov : For moreinformation, please see: https://www.azjobconnection.gov/jobs/6306663
As a Referral Specialist at this clinic, you will be coordinatingreferral orders for the continuation of treatment for the patients atthe BUMG-Nuerosurgery Clinic
This position is responsible for coordinating referral orders for acontinuation of treatment, such as specialty services and diagnostictesting within a primary care practice
The position is responsible for tracking and managing all referrals withthe intention and outcome to close any patient care gaps, along withproviding documentation to promote team awareness
Schedules appointments for specialty physician services and diagnostictesting per provider request and communicates with the patient on atimely basis for all scheduling requirements
Acts as a liaison between patients, providers and staff members forpatients referral and follow up needs
Provides prompt and professional service for the patients by assistingin educating patient/family and assisting patients with externalresources when needed
Provides all pertinent clinical information needed for the payorauthorization, the facility or specialist prior to the services beingrendered by verifying coverage, obtaining authorization andcommunicating with receiving facilities
Tracks and manages all referrals by monitoring outstanding referrals at30/60/90 day intervals and following up with patients if appointmentsare not kept
Applies knowledge of medical terminology and maintains up to dateknowledge of insurance environment
Utilizes internal and external resources to seek knowledge aboutregulations regarding various payor sources
Collaborates with outside referral sources and other community resources
Maintains an updated list of community resources and networks withcolleagues to develop additional referral sources
This position has frequent communications with patients, physicians,staff, and third party payers