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Ambulatory Referral Specialist
Banner HealthReferral Specialist coordinating patient referral orders and ensuring proper authorization for specialty services. Working within a multi-specialty practice to provide essential patient care support.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating referral orders and managing patient appointments while ensuring compliance with HIPAA regulations. Proficient in medical terminology, ICD-10, CPT Codes, and insurance authorization processes to enhance patient care and communication.
Highest-signal resume keywords
Medical Terminology KnowledgeICD-10 ProficiencyCPT Code UnderstandingEMR Software ExperienceStrong Interpersonal Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Referral CoordinationAuthorization ManagementInsurance KnowledgeDocumentation ManagementTask Management
Soft Skills
Strong Communication SkillsCustomer Service FocusProblem-Solving Ability
Tools & Technologies
Office SoftwareWord Processing SoftwareSpreadsheet SoftwareEMR Software
Industry Keywords
HIPAA RegulationsPayor AuthorizationPatient Care GapsSpecialty ServicesDiagnostic Testing
About the role
Key responsibilities & impact- Coordinates referral orders for specialty services and diagnostic testing within a primary care practice.
- Provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered.
- Acts as a liaison between the patient and the specialty area by navigating the appointment process.
- Ensures that proper authorization(s) are obtained for appointments to provide a seamless experience for patients.
- Tracks and manages all referrals with the intention to close any patient care gaps and provides documentation to promote team awareness.
Requirements
What you’ll need- High school diploma/GED or equivalent working knowledge.
- Requires knowledge of medical terminology, ICD-10, CPT Codes and a broad understanding of all common insurance and payor types and authorization requirements.
- Strong knowledge in the use of common office software, word processing, spreadsheet, EMR software.
- Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
- Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
- Knowledge of HIPAA regulations.
- Strong customer service focus and willingness to problem solve.
Benefits
Comp & perks- Comprehensive benefit package for all benefit-eligible positions.