Referral Specialist

Job Summary And Responsibilities As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes. Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services. To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients. Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with patients, insurance carriers and various internal departmentsIdentifies appropriate formularies for patient medication management or vendors for durable medical equipment requests and receives insurance approvals for patientsCompletes the referral process for a patient's ancillary, consultation, radiology or lab visit.The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments and notifying patients of progressProvides backup support for medical practice duties as requiredConveys an image of dignity and trustworthinessRespects the rights, privacy and differences of others Job Requirements Required High School Diploma or GED General Studies Two (2) years experience in a Medical Office or other healthcare environmentDemonstrates excellent customer service skillsFamiliar with codingBasic Computer skills Preferred Bi-lingualFamiliarity with the referral/authorization process and interacting with insurance carriers Where You'll Work Hello Humankindness: Join a Legacy of Healing at Saint Joseph’s Hospital and Medical Center (SJHMC) Ready to make a real difference? Join SJHMC in Phoenix AZ., a 571-bed nonprofit founded by the Sisters of Mercy over 125 years ago. We're more than a hospital; we're a global destination for life-changing care, embracing patients with humankindness. Here, your calling will flourish. We're not just a workplace; we're a community dedicated to a mission of service. Leaders In Specialized Care Barrow Neurological Institute (BNI): A world-renowned center for groundbreaking neurological research and innovative treatments.Norton Thoracic Institute (NTI): A national leader in advanced thoracic care with pioneering surgical techniques.Level I Trauma Center: One of Arizona's busiest ERs, providing immediate, comprehensive care for critically injured patients 24/7. Why SJHMC? Culture of Excellence & Well-being: We care for our people, fostering professional and personal growth.Community & Collaboration: Be part of a network committed to global health and well-being.Join a Legacy, Shape a Future: Over 20% of our patients travel internationally for our specialized care. This is an invitation to join a family of dedicated professionals at the forefront of medical innovation, united by the power of humankindness. Pay Range $19.01 - $24.24 /hour