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Referral Specialist – Cardiology
Banner Health. Coordinate referral orders for specialty services and diagnostic testing within a primary care practice .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating referrals and scheduling within a primary care setting, while effectively communicating with patients, providers, and third-party payers. Proficient in managing patient interactions, verifying insurance coverage, and maintaining knowledge of medical terminology and regulations.
Highest-signal resume keywords
Referral CoordinationPatient Interaction ExperienceKnowledge of HIPAA RegulationsEffective Communication SkillsProficiency with Office Software
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-9 CodesCPT CodesAuthorization VerificationReferral Tracking
Soft Skills
Customer Service FocusProblem SolvingTask Prioritization
Industry Keywords
HealthcareInsuranceManaged Care Concepts
About the role
Key responsibilities & impact- Coordinate referral orders for specialty services and diagnostic testing within a primary care practice
- Schedule specialty physician appointments and diagnostic testing per provider request
- Communicate scheduling requirements to patients in a timely manner
- Act as a liaison between patients, providers, and staff for referral and follow-up needs
- Educate patients and families and assist with external resources when needed
- Provide clinical information for payor authorization, facilities, and specialists
- Verify coverage, obtain authorization, and communicate with receiving facilities
- Track and manage referrals, monitoring outstanding referrals at 30/60/90-day intervals
- Follow up with patients when appointments are not kept
- Maintain knowledge of medical terminology, insurance environments, and payor regulations
- Collaborate with outside referral sources and community resources
- Maintain an updated list of community resources and develop additional referral sources
- Communicate frequently with patients, physicians, staff, and third-party payers
- Prioritize tasks within established guidelines with moderate supervision
Requirements
What you’ll need- High school diploma/GED or equivalent working knowledge
- 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
- Ability to manage competing priorities
- Proficiency with commonly used office software
- Previous knowledge of managed care concepts preferred
- Working knowledge of medical terminology and ICD-9 and CPT codes preferred
- Additional related education and/or experience preferred
Benefits
Comp & perks- Full-time employment
- Day shift, Monday-Friday 8:30am-5pm