Referral Specialist- Family Practice Internal Medicine jobs in United States
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Banner Health · 17 hours ago

Referral Specialist- Family Practice Internal Medicine

Banner Health is a leading health care organization committed to providing excellent patient care and innovative health care solutions. As a Referral Specialist, you will coordinate referral orders and manage patient appointments while ensuring effective communication between patients, providers, and staff.

Health CareInsuranceNon Profit
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H1B Sponsor Likelynote

Responsibilities

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

Qualification

Customer serviceMedical terminologyEffective communicationHIPAA regulationsManaged care conceptsCompeting prioritiesOffice software proficiencyProblem solving

Required

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

Previous knowledge of managed care concepts
Working knowledge of medical terminology and ICD-9 and CPT codes
Additional Related Education And/or Experience Preferred

Company

Banner Health

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Banner Health operates as a nonprofit health care system in the United States. The company offers hospital care, home care, hospice care,

H1B Sponsorship

Banner Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (85)
2024 (70)
2023 (35)
2022 (47)
2021 (51)
2020 (29)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Diane and Bruce Halle Foundation
2025-10-24Grant

Leadership Team

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Andy Kramer Petersen
President & CEO Banner Health Foundation
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Brian P. Kellar
Chief Executive Officer
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Company data provided by crunchbase