Referral Specialist Neurology
Primary location: Banner Health Neurology Clinic, 1520 S. Dobson Rd., Suite #206, Mesa, AZ 85202. Possibility to float to Baywood Location: 6553 E. Baywood Avenue, Suite 212, Mesa, AZ 85206.
About the role
This position coordinates referral orders for specialty services and diagnostic testing within a primary-care practice. You will ensure all referral requirements are met before appointments, collect and organize medical records, and act as a liaison between patients, providers, and staff for referral and follow-up needs. The role involves tracking and managing referrals to close patient-care gaps and providing documentation to promote team awareness.
You will support a busy, fast-paced clinic environment where over a couple hundred patients visit daily. The team includes 3 Neurologists and 2 Neuroendovascular surgeons at the Desert location, and 2 Neurologists at the Baywood location.
Responsibilities
- Schedule appointments for specialty physician services and diagnostic testing per provider request; communicate with patients on a timely basis for all scheduling requirements.
- Act as a liaison between patients, providers, and staff for patients’ referral and follow-up needs.
- Provide prompt, professional service by educating patients/families and assisting with external resources as needed.
- Provide all pertinent clinical information needed for payor authorization, the facility, or specialist prior to services being rendered by verifying coverage, obtaining authorization, and communicating with receiving facilities.
- Track and manage all referrals by monitoring outstanding referrals at 30/60/90-day intervals and following up with patients if appointments are not kept.
- Apply knowledge of medical terminology and maintain up-to-date knowledge of the insurance environment; utilize internal and external resources to understand regulations regarding various payor sources.
- Collaborate with outside referral sources and other community resources; maintain an updated list of community resources and network with colleagues to develop additional referral sources.
- Work with and understand managed health-care concepts; prioritize tasks within established guidelines with moderate supervision.
Requirements
- High school diploma/GED or equivalent working knowledge.
- One 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; ability to manage competing priorities.
- Proficiency with commonly used office software.
Preferred Qualifications
- Previous knowledge of managed-care concepts.
- Working knowledge of medical terminology and ICD-9/CPT codes.
- Additional related education and/or experience.
Schedule
Monday through Friday, 8:00 AM – 4:30 PM.