Referral Specialist jobs in Phoenix, AZ

Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Referral Specialist II
  • St Joseph Hospital & Medical Center
  • Phoenix, AZ FULL_TIME
  • Overview

    Hello humankindness Located conveniently in the heart of Phoenix ArizonaSt. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social and support services. Founded in 1895 by the Sisters of Mercy St. Josephs was the first hospital in the Phoenix area. More than 125 years later St. Josephs remains dedicated to its mission of caring for the poor and underserved.We are extremely proud to be a nationally recognized center for quality quaternary care medical education and research. St. Josephs includes the internationally renowned Barrow Neurological Institute Norton Thoracic Institute Cancer Center at St. Josephs Ivy Brain Tumor Center and St. Josephs Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics neuro-rehabilitation orthopedics and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s.U.S News & World Report routinely ranks St. Josephs among the top hospitals in the United States for neurology and neurosurgery. In addition St. Josephs boasts the Creighton University School of Medicine at St. Josephs and a strategic alliance with Phoenix Childrens Hospital.St. Josephs is consistently named an outstanding place to work and one of Arizonas healthiest employers. Come grow your career with one of Arizonas Most Admired Companies.Look for us on Facebookand follow us on Twitter.For the health of our community ... we are proud to be a tobacco-free campus.

    Responsibilities

    Position Summary:
    The Referral and Authorization Specialist is responsible for ensuring patients have been cleared for specialty service office visits; obtaining and issuing referrals for ancillary consult radiology or lab visits; receiving approvals for medication formularies durable medical equipment home health care and other items or services as needed. Able to perform all duties of a Referral & Authorization Specialist I. In addition schedules and coordinates tests and understands and communicates required preparation for tests. May act as escalation point for denials and other circumstances. May also enter charge entry data.

    Qualifications

    MINIMUM
    • Minimum of two (2) years experience in Medical Office or other healthcare environment
    • High School Diploma/G.E.D.
    • Basic Computer skills Excel Outlook windows based programs
    • Demonstrates excellent customer service skills
    • Familiar with coding
    PREFERRED
    • Bilingual skills
    • Familiarity with the referral/authorization process and interacting with insurance carriers

    Pay Range
    $18.00 - $24.66 /hour
  • 5 Days Ago

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Referral Specialist II
  • CommonSpirit Health
  • PHOENIX, AZ FULL_TIME
  • OverviewHello humankindness Located conveniently in the heart of Phoenix ArizonaSt. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social...
  • 4 Days Ago

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Patient Referral Specialist Imaging
  • Valleywise Health System
  • Phoenix, AZ FULL_TIME
  • Under the direction of the designated Supervisor/Manager, this position performs activities related to scheduling outpatient imaging exams and procedures. This includes processing outgoing/external an...
  • 17 Days Ago

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Patient Referral Specialist
  • Valleywise Health System
  • Phoenix, AZ FULL_TIME
  • Under the direction of the designated Supervisor/Manager, this position is responsible for the processing of outgoing/external and/or incoming/internal referrals from prior authorization to closing. Q...
  • 20 Days Ago

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Patient Referral Specialist
  • OrthoArizona
  • Peoria, AZ FULL_TIME
  • Patient Referral Specialist About OrthoArizona: At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the V...
  • 2 Months Ago

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IBH Referral and Support Specialist East Valley
  • Valleywise Health System
  • Phoenix, AZ FULL_TIME
  • Under the direction of the IBH Manager, the IBH Referral and Support Specialist works with the IBH psychiatrist and IBH Clinicians providing behavioral health support to patients and their families cu...
  • 8 Days Ago

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0 Referral Specialist jobs found in Phoenix, AZ area

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Appliance Repair Expert
  • Felix Appliance Heating & Air
  • Maricopa, AZ
  • Job Description Job Description Felix Appliance Repair LLC, is a Family Owned & Operated Business. We pride ourselves in...
  • 12/14/2024 12:00:00 AM

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Crew Member/Fruit Expert
  • Edible Arrangements
  • Phoenix, AZ
  • Job Description Job Description Are you ready to be involved with a company that brings happiness to people everyday? Th...
  • 12/13/2024 12:00:00 AM

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Expert Architect - Pega_CDH
  • Acxiom
  • Phoenix, AZ
  • The ideal Technical Architect candidate has extensive experience as a consultant and comprehensive knowledge of the Pega...
  • 12/13/2024 12:00:00 AM

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Data Scientist Expert
  • Acxiom
  • Phoenix, AZ
  • The Expert Data Scientist (Adobe Practice) will work hands-on with Machine Learning and Big Data technologies within the...
  • 12/12/2024 12:00:00 AM

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Customer Service Representative / Expert
  • Keys Real Estate Services
  • Goodyear, AZ
  • Job Description Job Description Customer Service Representative / Expert Keys Tactical Credit Repair & Keys Real Estate ...
  • 12/12/2024 12:00:00 AM

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Customer Service Representative / Expert
  • Keys Real Estate Services
  • Goodyear, AZ
  • Job Description Job Description Customer Service Representative / Expert Keys Tactical Credit Repair & Keys Real Estate ...
  • 12/11/2024 12:00:00 AM

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Processing Membrane Subject Matter Expert
  • Hiring Now!
  • Goodyear, AZ
  • fairlife, LLC is a Chicago-based nutrition company that creates great-tasting, nutrition-rich and dairy products to nour...
  • 12/10/2024 12:00:00 AM

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Operations Specialist
  • Swift Transportation
  • Phoenix, AZ
  • Description Position at Swift Transportation Accelerate your Career! At Swift, our greatest asset is OUR PEOPLE! We stri...
  • 12/10/2024 12:00:00 AM

Phoenix is in the southwestern United States, in the south-central portion of Arizona; about halfway between Tucson to the southeast and Flagstaff to the north. By car, the city is approximately 150 miles (240 kilometers) north of the US-Mexico border at Sonoyta and 180 mi (290 km) north of the border at Nogales. The metropolitan area is known as the "Valley of the Sun" due to its location in the Salt River Valley. It lies at a mean elevation of 1,086 feet (331 m), in the northern reaches of the Sonoran Desert. Other than the mountains in and around the city, the topography of Phoenix is gener...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$40,765 to $50,045
Phoenix, Arizona area prices
were up 2.2% from a year ago

Referral Specialist in Terre Haute, IN
This position serves as the centralized intake for all internal referrals to core service programs.
December 12, 2019
Referral Specialist in Albany, NY
The Information and Referral Specialist 1 is the entry level classification which gathers information on community resources and utilizes a broad knowledge of the community resource network to make appropriate referrals to service providers.
December 01, 2019
Referral Specialist in Florence, AL
As a Referral Specialist you will execute patient insurance referrals, consultations, and diagnostic procedures relating to Kadlec Clinic.
January 14, 2020