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Referral Specialist
Banner Health. Coordinate referral orders for specialty services and diagnostic testing within a multispecialty practice .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating referrals, managing authorizations, and ensuring compliance with medical terminology and insurance regulations. Strong ability to communicate effectively with patients and healthcare providers while maintaining a focus on customer service.
Highest-signal resume keywords
Referral CoordinationCPT Code KnowledgeInsurance VerificationEMR Software ProficiencyHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical TerminologyICD-10 KnowledgeCPT CodesInsurance RegulationsAuthorization RequirementsOffice Software ProficiencySpreadsheet SkillsWord Processing SkillsManaged Care ConceptsPatient Education
Soft Skills
Interpersonal CommunicationWritten CommunicationCustomer Service FocusProblem SolvingTask Management
Tools & Technologies
EMR Software
Industry Keywords
Healthcare FieldReferral SourcesPatient Care GapsCommunity Resource ListsMultispecialty Practice
About the role
Key responsibilities & impact- Coordinate referral orders for specialty services and diagnostic testing within a multispecialty practice
- Schedule appointments for incoming referrals and communicate scheduling requirements to patients
- Coordinate scheduling and authorizations for pre-planned in-office procedures
- Act as liaison between patients, providers, departments, staff, specialty areas, and external referral sources
- Educate patients and families and assist with external resources when needed
- Determine CPT codes requiring authorization
- Verify insurance coverage, obtain payor authorizations, and communicate with receiving facilities and specialists
- Review provider schedules to ensure required referrals and authorizations are in place
- Track and manage referrals to close patient care gaps and document information for team awareness
- Maintain knowledge of medical terminology, ICD-10, CPT codes, insurance regulations, and payor requirements
- Maintain community resource lists and develop additional referral sources
- Train at Banner University Cancer Center until the new Scottsdale facility opens, anticipated in early 2027
Requirements
What you’ll need- High school diploma/GED or equivalent working knowledge
- Knowledge of medical terminology, ICD-10, CPT Codes, and common insurance and payor types and authorization requirements
- Two or more years of work experience in the healthcare field
- Strong knowledge of common office software, word processing, spreadsheet, and EMR software
- Ability to manage multiple tasks simultaneously with minimal supervision and work independently
- Strong interpersonal, oral, and written communication skills
- Knowledge of HIPAA regulations
- Strong customer service focus and willingness to problem solve
- Previous knowledge of managed care concepts preferred
- Additional related education and/or experience preferred
Benefits
Comp & perks- EEO/Disabled/Veterans
- Drug-free work environment